Provider Demographics
NPI:1467736959
Name:VAUGHN, JOHN H III (DPH)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:VAUGHN
Suffix:III
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4243 HARDING PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2006
Mailing Address - Country:US
Mailing Address - Phone:615-297-6399
Mailing Address - Fax:615-297-6722
Practice Address - Street 1:4243 HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2006
Practice Address - Country:US
Practice Address - Phone:615-297-6399
Practice Address - Fax:615-297-6722
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist