Individual
MR. CARL SHERWOOD VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED.
Contact information
Practice address
11408 LONG MEADOW DR, GLEN ALLEN, VA 23059-5101
(804) 239-0846
(804) 264-6131
Mailing address
11408 LONG MEADOW DR, GLEN ALLEN, VA 23059-5101
(804) 239-0846
(804) 264-6131
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/16/2008
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