Individual
BRANDON BENJAMIN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1105 12TH ST, CAYCE, SC 29033-3304
(803) 973-0100
(803) 973-0117
Mailing address
1105 12TH ST, CAYCE, SC 29033-3304
(803) 973-0100
(803) 973-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6367
SC
Other
Enumeration date
02/06/2011
Last updated
09/23/2021
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