Gordon Wyche Moughon in Erwin - Internal Medicine

Gordon Wyche Moughon - NPI 1376559070

Gordon Wyche Moughon is a Internal Medicine in Erwin, Tennessee. Gordon Wyche Moughon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gordon Wyche Moughon is 1376559070. The last update date is 2007-07-08.

Gordon Wyche Moughon's current location address is 630 Oneega Avenue, Erwin, Tennessee. You can contact this provider via phone number 4237436169. The mailing address for Gordon Wyche Moughon is 630 Oneega Avenue, Erwin, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Wyche Moughon
Address 630 Oneega Avenue, Erwin, Tennessee
Phone Number 4237436169
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376559070
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 630 Oneega Avenue
City Erwin
State Tennessee (TN)
Post Code 37650
Phone Number 4237436169
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD12739
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3181522 TN --

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FAQs about Gordon Wyche Moughon

What is the unique provider identifier assigned to Gordon Wyche Moughon?

The Gordon Wyche Moughon has been issued the NPI (National Provider Identifier) 1376559070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Gordon Wyche Moughon is physically located?

The Gordon Wyche Moughon is situated at the following address: 630 Oneega Avenue, Erwin, TN 37650.

What is Gordon Wyche Moughon's area of expertise and its corresponding taxonomy classification?

The Gordon Wyche Moughon's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Gordon Wyche Moughon receive its 1376559070 assignment from the Centers for Medicare & Medicaid Services?

The Gordon Wyche Moughon was assigned its 1376559070 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Gordon Wyche Moughon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gordon Wyche Moughon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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