Individual provider · Type 1 NPI

Michael Gough, PA-C

Medical Physician Assistant · Greenville, NC

NPI number 1396722286 Active

Practice location

1800 W 5th St, Suites 2 & 4
Greenville, NC 27834-2888

Call (252) 744-2207 Map

Fax (252) 744-3987

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X102470 (NC)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1396722286

Michael Gough, PA-C's National Provider Identifier is 1396722286, issued on Dec 30, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greenville, NC. The record was last updated on Apr 19, 2010.