Individual
MISTY DIXON GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8821 COVE POINT LN, KNOXVILLE, TN 37922-6402
(865) 803-1982
Mailing address
8821 COVE POINT LN, KNOXVILLE, TN 37922-6402
(865) 803-1982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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