Individual
NATHAN ANDREW VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CORPORATE CENTER DRIVE, SCOTT DEPOT, WV 25560
(304) 691-6732
(304) 691-6919
Mailing address
1249 15TH ST STE 4000, HUNTINGTON, WV 25701-3663
(304) 691-8500
(304) 691-8550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13194
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084955000
—
WV
Enumeration date
02/22/2006
Last updated
12/02/2021
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