Individual
DR. JOHN E GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36490
BCBS NC
NC
05
—
8936490
—
NC
01
—
930046758
RAILROAD MEDICARE
NC
Enumeration date
08/19/2005
Last updated
12/29/2023
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