Michael Gough is a Medical in Charlotte, North Carolina. Michael Gough practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael Gough is 1396722286. The last update date is 2010-04-19.
Michael Gough's current location address is Po Box 751069, Charlotte, North Carolina. You can contact this provider via phone number 2527443253 and fax number 2527443194. The mailing address for Michael Gough is Po Box 751069, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Gough |
|---|---|
| Address | Po Box 751069, Charlotte, North Carolina |
| Phone Number | 2527443253 |
| Fax Number | 2527443194 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396722286 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2010-04-19 |
Provider Mailing Address Detail
| Address | Po Box 751069 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751069 |
| Phone Number | 2527443253 |
| Fax Number | 2527443194 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 102470 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970012691 | NC | RR MEDICARE |
Post Comment/ Review Below
What is the Michael Gough's unique identification number?
The Michael Gough has been assigned the NPI (National Provider Identifier) Number 1396722286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Michael Gough's facilities are situated?
The facilities of Michael Gough are physically located at the following address: Po Box 751069, Charlotte, NC, 282751069.
What is the Michael Gough's specialty and taxonomy code?
The Michael Gough's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396722286 to Michael Gough?
The Michael Gough received its 1396722286 assignment from the Centers for Medicare & Medicaid Services on 2005-12-30.
When was the information related to Michael Gough most recently updated or refreshed?
The details pertaining to the Michael Gough, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-04-19.
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