Individual provider · Type 1 NPI
Christine Elizabeth Gough, MD
Student in an Organized Health Care Education/Training Program · Indianapolis, IN
Practice location
545 Barnhill Dr
Indianapolis, IN 46202-5112
Mailing address
2892 Watchmans Walk NW
Marietta, GA 30064-1280
Other practice locations
- 2892 Watchmans Walk NW, Marietta, GA 30064-1280 · (678) 488-1169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1245099225
Christine Elizabeth Gough, MD's National Provider Identifier is 1245099225, issued on Mar 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 6, 2025.