Vaughan, Laura Anne

Vaughan, Laura Anne is an sole proprietor health care provider with primary practice located at 14 Richland Medical Park Dr Ste 350 , Columbia SC 29203-6896. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vaughan, Laura Anne can be contacted via phone (803) 434-1663.

Contact Information

Primary practice address
14 Richland Medical Park Dr Ste 350 Columbia SC 29203-6896
Phone: (803) 434-1663
Fax: (803) 434-3894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103537 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103537 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1812 South Carolina

Profile Details

NPI number 1336193531
LBN Legal business name Vaughan, Laura Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Jun 8th, 2022 - about 2 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 1336193531 NPPES
South Carolina MEDICAID 1501PA

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