person
Mr. Michael Gough, PA-C
Medical Physician Assistant in Greenville, North Carolina
NPI 1396722286

Michael Gough is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Michael Gough practices in Greenville, NC and has the professional credentials of PA-C. The NPI Number for Michael Gough is 1396722286 and holds a License No. 102470 (North Carolina).

The current practice location address for Michael Gough is 1800 W 5Th St, Greenville, NC and can be reached out via phone at 252-744-2207 and via fax at 252-744-3987. You can also correspond with Michael Gough through the mailing address at PO BOX 751069, CHARLOTTE, NC - 28275-1069 (mailing address contact number: 252-744-3253).

Location: 1800 W 5Th St, Greenville, NC, 28275-1069
person
Provider Profile Details
NPI Number
1396722286
Provider Name
Michael Gough
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1800 W 5Th St, Greenville, NC, 28275-1069
Phone Number
252-744-2207
Fax Number
252-744-3987
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970012691 01 NC RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1800 W 5Th St
City
State
Zip
27834-2888
Phone Number
252-744-2207
Fax Number
252-744-3987
person
Provider Business Mailing Address Details
Address
1800 W 5Th St
City
State
Zip
27834-2888
Phone Number
252-744-2207
Fax Number
252-744-3987
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
102470 (North Carolina)
Definition
Definition to come...
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