Individual
CHRISTINE ELIZABETH GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(678) 488-1169
Mailing address
2892 WATCHMANS WALK NW, MARIETTA, GA 30064-1280
(678) 488-1169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
04/06/2025
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