Vaught, Winston Wallace
Vaught, Winston Wallace is an individual health care provider with primary practice located at 800 E Cheves St Ste 350, Florence SC 29506-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Vaught, Winston Wallace can be contacted via phone (843) 777-7500.Contact Information
Primary practice address
800 E Cheves St Ste 350
Florence SC 29506-2650
Phone: (843) 777-7500
Fax: (843) 777-7563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 13703 | South Carolina |
Profile Details
| NPI number | 1053310110 |
|---|---|
| LBN Legal business name | Vaught, Winston Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053310110 | NPPES |
| South Carolina | MEDICAID | 137033 |
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