Individual provider · Type 1 NPI

Jacob Walker Vaught, DO

Pediatrics Physician · North Charleston, SC

NPI number 1124607031 Active

Practice location

2750 Dantzler Dr Unit 102
North Charleston, SC 29406-9006

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice locations

  • 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 · (843) 402-1634

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X94543 (SC)
Pediatrics Physician Primary 208000000X94543 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1124607031

Jacob Walker Vaught, DO's National Provider Identifier is 1124607031, issued on Apr 7, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in North Charleston, SC. The record was last updated on Nov 17, 2025.