Gough's Family and Pediatric Clinic
Gough's Family and Pediatric Clinic is a Primary Care Clinic/Center in Drew, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.
- Licensed in
- MS
- In the registry since
- 2013
Practice location Address checks out
189 N Main StDrew, MS 38737-3146
Phone: (662) 745-6638
Fax: (662) 745-8480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 06639 (MS) |
|---|
Record details
| NPI number | 1528306222 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Gough — Owner/Physician · (662) 745-6638 |
| NPI enumerated | January 30, 2013 |
| Last updated in NPPES | January 30, 2013 |
| Mailing address | Po Box 68, Drew, MS 38737-0068 |