Vaughn, Robert

Vaughn, Robert is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vaughn, Robert can be contacted via phone (864) 512-1000.

Contact Information

Primary practice address
800 N Fant St Anderson SC 29621-5708
Phone: (864) 512-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1114017225
LBN Legal business name Vaughn, Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 29th, 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 1114017225 NPPES
South Carolina Other AA706 MEDICARE

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