Individual
CATHERINE ANNE JOHNSON-GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2988
(843) 805-6277
Mailing address
PO BOX 2363, INDIANAPOLIS, IN 46206-2363
(843) 724-2988
(843) 805-6277
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19797
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300076065
RR MEDICARE
SC
05
—
T38055
—
SC
Enumeration date
12/13/2005
Last updated
01/28/2019
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