Individual
AMY A VAUGHAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6007 US ROUTE 60 E, SUITE 130, BARBOURSVILLE, WV 25504-1042
(304) 733-3333
(304) 733-3666
Mailing address
PO BOX 937, 6007 US ROUTE 60 E SUITE 130, BARBOURSVILLE, WV 25504
(304) 733-3333
(304) 733-3666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18579
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070108000
—
WV
Enumeration date
10/27/2005
Last updated
07/08/2007
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