Individual
DR. GISELE ALLEN GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6555 STAGE RD, SUITE 1, BARTLETT, TN 38134-2810
(901) 377-3475
(901) 377-8068
Mailing address
PO BOX 102906, ATLANTA, GA 30368-2906
(901) 377-3475
(901) 377-8068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33988
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3157198
BLUE CROSS INDIVIDUAL PRO
TN
Enumeration date
05/18/2006
Last updated
08/02/2007
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