Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALBERT RUSSELL VAUGHN, MD
ActivePediatrics · JEFFERSON CITY, TN
Registration Details
- NPI Number
- 1689084865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2014 (11.98276968112 yrs)
- Last Updated
- Jun 26, 2018
- Licenses
-
MD0000057030 (TN)MD0000057030 (TN)
Practice Information
- Address
-
120 HOSPITAL DR STE 130JEFFERSON CITY, TN, 377605279Browse TN providers · Browse ZIP 37760
- Phone
- 8644754742
- Fax
- 8652620100
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in JEFFERSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| DR. LAURA KRAUS | M.D. | 1902820624 |
| DR. JESSICA DEANNE ALBRIGHT | M.D. | 1760774301 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.