Individual
MRS. COURTNEY GINETTE GOTTSCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
179 HANCOCK ST, SUITE 203, GALLATIN, TN 37066-6346
(615) 230-3045
(615) 230-3047
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
(615) 230-3045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1577
TN
363AM0700X
Medical Physician Assistant
TN000001577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524458
—
TN
Enumeration date
07/10/2008
Last updated
08/13/2015
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