Individual
GEORGE DENNIS VAUGHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 DEVONSHIRE DR STE 100, COLUMBIA, SC 29204-2444
(803) 758-5858
(803) 758-5855
Mailing address
1551 BEN SAWYER BLVD UNIT 46, MT PLEASANT, SC 29464-5509
(843) 881-0061
(703) 997-1470
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
10035
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035
LICENSE
SC
Enumeration date
07/13/2006
Last updated
09/08/2008
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