Most Relevant Information
Provider Data
| NPI Number: | 1003515271 |
| Provider Name: | ADAM BOYD VAUGHN |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/27/2023 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
620 SKYLINE DR
JACKSON
TN
383013923
Practice Location Phone/Fax
| Phone: | 7315415000 |
| Fax: |
Provider Mailing Location
16 WOODWINDS CV
JACKSON
TN
383057407
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |