Vaughan Physician Practices Llc | |
1023 Medical Center Pkwy Suite 310 Selma AL 36701-6780 | |
(334) 418-6656 | |
(334) 418-6657 |
Full Name | Vaughan Physician Practices Llc |
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Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1023 Medical Center Pkwy, Selma, Alabama |
Authorized Official Name and Position | Jess Judy (PRESIDENT) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vaughan Physician Practices Llc Po Box 1206 Selma AL 36702-1206 Ph: (334) 418-6656 | Vaughan Physician Practices Llc 1023 Medical Center Pkwy Suite 310 Selma AL 36701-6780 Ph: (334) 418-6656 |
NPI Number | 1346679248 |
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Provider Enumeration Date | 11/01/2013 |
Last Update Date | 11/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346679248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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