John Michael Gough in Jonesboro - Physical Therapist

John Michael Gough - NPI 1851470074

John Michael Gough is a Physical Therapist in Jonesboro, Georgia. John Michael Gough practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for John Michael Gough is 1851470074. The last update date is 2007-07-08.

John Michael Gough's current location address is Po Box 518, Jonesboro, Georgia. You can contact this provider via phone number 7706318277 and fax number 7706319403. The mailing address for John Michael Gough is Po Box 518, Jonesboro, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Michael Gough
Address Po Box 518, Jonesboro, Georgia
Phone Number 7706318277
Fax Number 7706319403
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1851470074
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 518
City Jonesboro
State Georgia (GA)
Post Code 302370518
Phone Number 7706318277
Fax Number 7706319403

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT008077
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT008077 GA STATE LISC NUMBER

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FAQs about John Michael Gough

What is the unique provider identifier assigned to John Michael Gough?

The John Michael Gough has been issued the NPI (National Provider Identifier) 1851470074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where John Michael Gough is geographically located?

The John Michael Gough is physically situated at the following location: Po Box 518, Jonesboro, GA, 302370518.

What is the John Michael Gough's area of specialization and corresponding taxonomy classification?

The John Michael Gough's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1851470074 to John Michael Gough?

The John Michael Gough received its 1851470074 assignment from the Centers for Medicare & Medicaid Services on 2006-11-06.

As of what date were the John Michael Gough's details last updated?

The information pertaining to the John Michael Gough, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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