Individual
SANTITA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 KILLIAN GREEN DR, COLUMBIA, SC 29229-8001
(803) 687-7975
Mailing address
129 KILLIAN GREEN DR, COLUMBIA, SC 29229-8001
(803) 687-7975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
216246
SC
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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