Individual
CRYSTAL DEANN GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7000 GRASSELLI RD, FAIRFIELD, AL 35064-2424
(205) 791-5048
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1756
AL
Other
Enumeration date
02/17/2021
Last updated
03/11/2025
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