Vaughn, Albert Russell

Vaughn, Albert Russell is an individual health care provider with primary practice located at 120 Hospital Dr Ste 130 , Jefferson City TN 37760-5279. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Vaughn, Albert Russell can be contacted via phone (864) 475-4742.

Contact Information

Primary practice address
120 Hospital Dr Ste 130 Jefferson City TN 37760-5279
Phone: (864) 475-4742
Fax: (865) 262-0100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000057030 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0000057030 Tennessee

Profile Details

NPI number 1689084865
LBN Legal business name Vaughn, Albert Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2014
Last updated Jun 26th, 2018 - 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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