Individual
DR. JOSEPH K VAUGHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 FORT SANDERS WEST BLVD STE 102, KNOXVILLE, TN 37922
(865) 531-5350
(865) 374-2125
Mailing address
200 FORT SANDERS WEST BLVD STE 102, KNOXVILLE, TN 37922-3358
(865) 531-5350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L5597
TX
2084N0400X
Neurology Physician
Primary
L5597
TX
2084N0600X
Clinical Neurophysiology Physician
L5597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155074101
—
TX
05
—
Q078278
—
TN
Enumeration date
10/05/2005
Last updated
11/29/2022
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