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Organization

AMY A VAUGHAN DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY A VAUGHAN MD (PHYSICIAN PRESIDENT)
(304) 733-3333
Entity
Organization

Contact information

Practice address
6007 US RT 60 EAST, SUITE 130, BARBOURSVILLE, WV 25504
(304) 733-3333
(304) 733-3666
Mailing address
PO BOX 937, 6007 US RT 60 E SUITE 130, BARBOURSVILLE, WV 25504
(304) 733-3333
(304) 733-3666

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
18579
WV

Other

Enumeration date
10/13/2006
Last updated
08/22/2020
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