Vaughan, Joel Fuller

Vaughan, Joel Fuller is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vaughan, Joel Fuller can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 577-5011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23927 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23927 South Carolina

Profile Details

NPI number 1457305104
LBN Legal business name Vaughan, Joel Fuller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457305104 NPPES
South Carolina MEDICAID 239272

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