Individual
DR. ALBERT RUSSELL VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HOSPITAL DR STE 130, JEFFERSON CITY, TN 37760-5279
(864) 475-4742
(865) 262-0100
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000057030
TN
208000000X
Pediatrics Physician
Primary
MD0000057030
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2014
Last updated
06/26/2018
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