Individual
BARRY RICHARD VAUGHN
Active
Individual
BARRY RICHARD VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
042470
GA
207X00000X
Orthopaedic Surgery Physician
Primary
28151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00718814A
—
GA
01
—
38067151
MCR ID
TN
Enumeration date
08/31/2005
Last updated
05/15/2024
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