Individual
ALLEN CHRISTOPHER GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 HOLIDAY LN, STE 100, FULTON, KY 42041-8468
(270) 472-8150
(270) 472-8155
Mailing address
2002 HOLIDAY LN, STE 100, FULTON, KY 42041-8468
(270) 472-8150
(270) 472-8155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10000
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3194557
—
TN
Enumeration date
05/15/2006
Last updated
07/10/2015
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