Individual
WILLIAM GLAZE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 CLINCH AVE STE 510, KNOXVILLE, TN 37916-2225
(865) 546-2131
(877) 821-0891
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
48015
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527042
—
TN
Enumeration date
11/07/2005
Last updated
04/08/2022
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