Organization
GOSHORN AESTHETIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEUMON T GOSHORN M.D. (OWNER/PHYSICIAN)
(901) 682-4456
Entity
Organization
Contact information
Practice address
1364 CORDOVA CV, GERMANTOWN, TN 38138-2200
(901) 682-4466
(901) 207-4882
Mailing address
1364 CORDOVA CV, GERMANTOWN, TN 38138-2200
(901) 682-4466
(901) 207-4882
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
03/12/2019
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