Individual
MISS MICAELA L GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 TANNER PL BLDG H, CLINTON, TN 37716-6684
(865) 264-4012
(423) 567-4722
Mailing address
PO BOX 787, JACKSBORO, TN 37757-0787
(423) 658-1406
(865) 281-1625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3700
TN
Other
Enumeration date
11/12/2018
Last updated
10/21/2019
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