| Vaughan Physician Practices, Llc | |
|
1013 Medical Center Pkwy Bldg 2 Selma AL 36701-6742 | |
| (334) 418-4113 | |
| (334) 418-3599 |
| Full Name | Vaughan Physician Practices, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1013 Medical Center Pkwy Bldg 2, Selma, Alabama |
| Authorized Official Name and Position | Phillip L Cowart (DIRECTOR) |
| Authorized Official Contact | 3344184113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaughan Physician Practices, Llc 200 Vaughan Memorial Dr Selma AL 36701-6508 Ph: (334) 418-4113 | Vaughan Physician Practices, Llc 1013 Medical Center Pkwy Bldg 2 Selma AL 36701-6742 Ph: (334) 418-4113 |
| NPI Number | 1629310958 |
|---|---|
| Provider Enumeration Date | 03/25/2013 |
| Last Update Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629310958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Alabama) | Primary |
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