Organization
PERFORM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR VAUGHAN MD (MEDICAL DIRECTOR)
(606) 232-1064
Entity
Organization
Contact information
Practice address
5500 FRONT ST STE 250, SUMMERVILLE, SC 29486-8140
(843) 278-8474
Mailing address
5500 FRONT ST STE 250, SUMMERVILLE, SC 29486-8140
(843) 278-8474
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
11/03/2025
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