Individual
CHERYL L. GAUGHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LEE ST, 2ND FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2283
(434) 982-0019
Mailing address
LEE ST, 2ND FLOOR, CHARLOTTESVILLE, VA 22908-0778
(434) 924-2283
(434) 982-0019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101246264
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116017448
VA
Other
Enumeration date
05/04/2007
Last updated
09/03/2009
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