Individual
FREDDIE W. VAUGHAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
(304) 691-1153
Mailing address
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
(304) 691-1153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27602
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
11/23/2021
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