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Individual

SPENCER ALAN GOUDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5130
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
3743
TN
363A00000X
Physician Assistant
Primary
3743
TN
363AM0700X
Medical Physician Assistant
3743
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q048899
TN
Enumeration date
10/10/2018
Last updated
12/09/2025
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