Individual
MERRIE BETH GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7188
Mailing address
7208 RUSTED OAK RD, WAKE FOREST, NC 27587-7170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108648
NC
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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