Individual
DR. MARK TAYLOR VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 GLENN MITCHELL DR, VA BEACH, VA 23456-0178
(757) 967-8622
(757) 686-0541
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 967-8622
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101278291
VA
207R00000X
Internal Medicine Physician
2022-01663
NC
Other
Enumeration date
04/18/2019
Last updated
10/10/2024
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