Vaughn, Gavin Michael

Vaughn, Gavin Michael is an individual health care provider with primary practice located at 4040 Highway 17 , Murrells Inlet SC 29576-5098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Vaughn, Gavin Michael can be contacted via phone (843) 652-8160.

Contact Information

Primary practice address
4040 Highway 17 Murrells Inlet SC 29576-5098
Phone: (843) 652-8160
Fax: (843) 652-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 37356 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 37356 South Carolina

Profile Details

NPI number 1962514190
LBN Legal business name Vaughn, Gavin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Nov 6th, 2014 - about 11 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 1962514190 NPPES
South Carolina Other TL37356 MEDICAL LICENSE

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