Vaughn, Thomas Dewayne

Vaughn, Thomas Dewayne is an individual health care provider with primary practice located at 1500 Ross Clark Cir , Dothan AL 36301-4754. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vaughn, Thomas Dewayne can be contacted via phone (334) 793-2663.

Contact Information

Primary practice address
1500 Ross Clark Cir Dothan AL 36301-4754
Phone: (334) 793-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 779 Alabama

Profile Details

NPI number 1336132026
LBN Legal business name Vaughn, Thomas Dewayne
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Sep 12th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336132026 NPPES
Alabama Other 511-79539 BCBS OF ALABAMA -RCC
Alabama MEDICAID 189447 BCBS OF ALABAMA -RCC
Alabama Other 511-79540 BCBS OF ALABAMA -RCC
Alabama MEDICAID 188125 BCBS OF ALABAMA -RCC
Alabama Other 102I977212 BCBS OF ALABAMA -RCC

Popular Providers