Jared Douglas Gouge
NPI #1053878603 in Old Fort, North Carolina
Provider Information
- NPI Number
- 1053878603
- Entity Type
- Individual
- Name
- Jared Douglas Gouge
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Mar 1, 2019
- Last Updated
- Mar 1, 2019
Practice Location
- Address
- 249 LAUREL RIDGE DR
- City
- Old Fort
- State
- North Carolina
- ZIP Code
- 28762-9712
- Phone
- (828) 442-9429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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Organizations
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|---|---|
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