Organization
VAUGHAN PHYSICIAN PRACTICES LLC
Active
Other names
Vaughan Surgical Specialty Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1023 MEDICAL CENTER PKWY, SUITE 310, SELMA, AL 36701-6780
(334) 418-6656
(334) 418-6657
Mailing address
PO BOX 1206, SELMA, AL 36702-1206
(334) 418-6656
(334) 418-6657
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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