Healthcare Provider Details

I. General information

NPI: 1295652592
Provider Name (Legal Business Name): R. BAUER VAUGHTERS, III, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 RICHLAND AVE W
AIKEN SC
29801-3828
US

IV. Provider business mailing address

526 RICHLAND AVE W
AIKEN SC
29801-3828
US

V. Phone/Fax

Practice location:
  • Phone: 803-648-3130
  • Fax: 803-648-9860
Mailing address:
  • Phone: 803-648-3130
  • Fax: 803-648-9860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RAY BAUER VAUGHTERS III
Title or Position: MD/OWNER
Credential:
Phone: 803-648-3130