Individual
ANTHONY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6417 BISLAND DR, RALEIGH, NC 27610-1190
(919) 803-5684
Mailing address
839 WILKESBORO BLVD NE, LENOIR, NC 28645-4612
(828) 759-2228
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
08/05/2013
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