Individual
JOSHUA PAUL GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 ROBINHOOD MEDICAL PLZ, WINSTON SALEM, NC 27106-5471
(336) 718-7950
(336) 718-7989
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09164
NC
Other
Enumeration date
07/05/2019
Last updated
10/26/2020
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