Individual
DR. JOEL ROBERT GOOCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 FORT LOUDOUN MEDICAL CENTER DR, LENOIR CITY, TN 37772-5673
(865) 271-6000
Mailing address
460 AVERY CIR, LENOIR CITY, TN 37772-6176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39620
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3330287
—
TN
01
—
4102059
BLUE CROSS
TN
Enumeration date
06/07/2006
Last updated
07/08/2007
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