Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wallace Carroll Vaughan Jr., MD

Individual provider Otolaryngology Physician · NPI 1104906510

Dr. Wallace Carroll Vaughan Jr., MD is an Otolaryngology in Montgomery, Alabama. Graduated from University Alabama Birmingham - School of Optometry in 1982, 44 years ago. Practices with Central Alabama ENT Associates, a 2-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
44
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
AL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6980 Winton Blount Blvd
Montgomery, AL 36117-3556
Phone: (334) 277-0484
Fax: (334) 272-8877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 13438 (AL)

Record details

NPI number1104906510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESNovember 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 1982 (44 years in practice)
Group practice Central Alabama Ent Associates — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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