Vaught, Carolyn Roena

Vaught, Carolyn Roena is an sole proprietor health care provider with primary practice located at 109 Physicians Dr Ste A , Greer SC 29650-2446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vaught, Carolyn Roena can be contacted via phone (864) 797-9150.

Contact Information

Primary practice address
109 Physicians Dr Ste A Greer SC 29650-2446
Fax: (864) 797-9155
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 210102 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 87020 South Carolina

Profile Details

NPI number 1699153528
LBN Legal business name Vaught, Carolyn Roena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2015
Last updated Mar 22nd, 2022 - about 4 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 1699153528 NPPES
South Carolina MEDICAID PENDING

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