Vaughn, Jeffrey

Vaughn, Jeffrey is an individual health care provider with primary practice located at 2033 Meadowview Ln 3Rd Floor, Kingsport TN 37660-7569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vaughn, Jeffrey can be contacted via phone (423) 857-2793.

Contact Information

Primary practice address
2033 Meadowview Ln 3Rd Floor Kingsport TN 37660-7569
Phone: (423) 857-2793
Fax: (423) 578-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101041214 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18226 Tennessee

Profile Details

NPI number 1134121320
LBN Legal business name Vaughn, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 15th, 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 1134121320 NPPES
Tennessee MEDICAID 3345605
Tennessee MEDICAID 005613612
Tennessee MEDICAID 3033474
Tennessee MEDICAID 5613612

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