Provider Demographics
NPI:1639124878
Name:VAUGHT NEUROLOGICAL SERVICES
Entity type:Organization
Organization Name:VAUGHT NEUROLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PRACTICIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:VAUGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-252-4222
Mailing Address - Street 1:1619 STANAFORD RD STE 218
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-8624
Mailing Address - Country:US
Mailing Address - Phone:304-252-4222
Mailing Address - Fax:
Practice Address - Street 1:1404 ROBERT C BYRD DR STE 100
Practice Address - Street 2:
Practice Address - City:CRAB ORCHARD
Practice Address - State:WV
Practice Address - Zip Code:25827-9470
Practice Address - Country:US
Practice Address - Phone:304-252-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty