Individual
COURTNEY ANNE GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 791-0306
(434) 791-0310
Mailing address
PO BOX 829, HILDEBRAN, NC 28637-0829
(828) 397-3522
(828) 397-5271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002616
VA
Other
Enumeration date
09/11/2007
Last updated
04/11/2023
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