Individual
JARED DOUGLAS GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
249 LAUREL RIDGE DR, OLD FORT, NC 28762-9712
(828) 442-9429
Mailing address
249 LAUREL RIDGE DR, OLD FORT, NC 28762-9712
(828) 442-9429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233191
NC
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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