Individual provider · Type 1 NPI

Christine Elizabeth Gough, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1245099225 Active

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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.