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Organization

CONVENIENT HEALTH CARE, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN FREDERICK VAUGHAN SR. M.D., RPH (MEDICAL DIRECTOR-OWNER)
(804) 733-3131
Entity
Organization

Contact information

Practice address
2731 S CRATER RD, PETERSBURG, VA 23805-2403
(804) 733-3131
(804) 862-9136
Mailing address
2731 S CRATER RD, PETERSBURG, VA 23805-2403
(804) 733-3131
(804) 862-9136

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101029194
VA

Other

Enumeration date
03/28/2007
Last updated
02/20/2008
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