DR. Wallace Carroll Vaughan JR., M.D.

NPI #1104906510 in Montgomery, Alabama

Provider Information

NPI Number: 1104906510
Entity Type: Individual
Name: DR. Wallace Carroll Vaughan JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Oct 17, 2006
Last Updated: Nov 13, 2015

Practice Location

Address: 6980 WINTON BLOUNT BLVD
City: Montgomery
State: Alabama
ZIP Code: 36117-3556
Phone: (334) 277-0484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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