Individual
DR. GRANVILLE LEROY VAUGHAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 HIGHWAY 110 W, HEBER SPRINGS, AR 72543-3404
(501) 326-0048
(501) 362-8815
Mailing address
PO BOX 1018, 2225 HIGHWAY 110 WEST, HEBER SPRINGS, AR 72543-1018
(501) 362-0048
(501) 362-8815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7548
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149045002
—
AR
01
—
51311
MEDICARE INDIVIDUAL NUMBER
AR
Enumeration date
01/12/2006
Last updated
11/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us