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Contact Information

KRISTOS N VAUGHAN, DO
3009 MEDICAL PLAZA LANE
SOUTHPORT, NC28461
 Phone: 910-454-1234
 Fax: 910-253-4934
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KRISTOS N VAUGHAN · (Male)

NPI # 1134449291
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/10/2010
Last updated 11/02/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2013-00927
Hospital affiliation(s)
  • BRUNSWICK COMMUNITY HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DR PO BOX 139
    SUPPLY, NC 28462
  • J ARTHUR DOSHER MEMORIAL HOSPITAL - (Critical Access)
    924 HOWE ST
    SOUTHPORT, NC 28461
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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