Gough's Family and Pediatric Clinic
NPI #1528306222 in Drew, Mississippi
Provider Information
- NPI Number
- 1528306222
- Entity Type
- Organization
- Organization Name
- Gough's Family and Pediatric Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 30, 2013
- Last Updated
- Jan 30, 2013
Practice Location
- Address
- 189 N MAIN ST
- City
- Drew
- State
- Mississippi
- ZIP Code
- 38737-3146
- Phone
- (662) 745-6638
Authorized Official
- Name
- WALTER GOUGH, M. D.
- Title
- OWNER/PHYSICIAN
- Phone
- (662) 745-6638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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