Individual
DR. HARRISON NEAL VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1187 N MECKLENBURG AVE, LA CROSSE, VA 23950-1768
(434) 447-3322
Mailing address
PO BOX 217, SOUTH HILL, VA 23970-0217
(434) 447-3322
(434) 447-3282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00702769
RAILROAD MEDICARE PTAN
VA
Enumeration date
06/23/2008
Last updated
06/16/2009
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