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Charles Jordan Vaughn
Student in an Organized Health Care Education/Training Program in Oxford, Mississippi
NPI 1912598194

Charles Jordan Vaughn is a Student in an Organized Health Care Education/Training Program based in Oxford, MS. Charles Jordan Vaughn practices in Oxford, MS. The NPI Number for Charles Jordan Vaughn is 1912598194 and holds a License No. (Mississippi).

The current practice location address for Charles Jordan Vaughn is 1808 University Ave, Oxford, MS and can be reached out via phone at 662-513-0894. You can also correspond with Charles Jordan Vaughn through the mailing address at 2998 OLD TAYLOR RD APT 1412, OXFORD, MS - 38655-5654 (mailing address contact number: 256-466-1365).

Location: 1808 University Ave, Oxford, MS, 38655-5654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912598194
Provider Name
Charles Jordan Vaughn
Credential
Provider Entity Type
Individual
Gender
Male
Address
1808 University Ave, Oxford, MS, 38655-5654
Phone Number
662-513-0894
Fax Number
Provider Enumeration Date
01/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1808 University Ave
City
Oxford
State
Mississippi
Zip
38655-4112
Phone Number
662-513-0894
Fax Number
person
Provider Business Mailing Address Details
Address
1808 University Ave
City
Oxford
State
Mississippi
Zip
38655-4112
Phone Number
662-513-0894
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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