Organization
PIEDMONT PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED R VAUGHN M.D. (SURGEON)
(864) 223-0505
Entity
Organization
Contact information
Practice address
305A W ALEXANDER AVE, GREENWOOD, SC 29646-4009
(864) 223-0505
(864) 223-7075
Mailing address
305A W ALEXANDER AVE, GREENWOOD, SC 29646-4009
(864) 223-0505
(864) 223-7075
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
12007
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0728
—
SC
Enumeration date
03/14/2007
Last updated
11/13/2008
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