Individual
HUNTER CHRISTIAN GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
726 MANN CIR E APT 112, MEMPHIS, TN 38103-4543
(270) 313-8623
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0000208404
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
27695
TN
Other
Enumeration date
04/16/2020
Last updated
06/23/2020
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