W Wallace Vaught Jr Md Pc

LBN: W Wallace Vaught Jr Md Pc
W Wallace Vaught Jr Md Pc is an health care organization with primary practice located at 800 E Cheves St Ste 350, Florence SC 29506-2650. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. W Wallace Vaught Jr Md Pc can be contacted via phone (843) 665-2000, or through Vaught, W Wallace via phone (843) 665-2000.

Contact Information

Primary practice address
800 E Cheves St Ste 350 Florence SC 29506-2650
Phone: (843) 665-2000
Fax: (843) 669-1701
Website:
Map and Directions
Authorized official contact:
Name: Vaught, W Wallace Doctor of Medicine (MD)
Phone: (843) 665-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 13703 South Carolina

Profile Details

NPI number 1932398559
LBN Legal business name W Wallace Vaught Jr Md Pc
DBA Doing business as
Authorized official Vaught, W Wallace Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2007
Last updated Oct 23rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932398559 NPPES
South Carolina MEDICAID 137033

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