Individual
JOSEPH WAYNE POUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6711 MOFFETT RD, MOBILE, AL 36618-4413
(251) 645-9454
Mailing address
6711 MOFFETT RD, MOBILE, AL 36618-4413
(251) 234-9303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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