GORDON W MOUGHON

Dr GORDON W MOUGHON is a male medical professional, specializing in Internal Medicine. He graduated in 1977 from Vanderbilt University School Of Medicine.

Contact

630 ONEEGA LN
SUITE B
ERWIN
TN
376502199

Tel: 4237436169

GORDON W MOUGHON Information

Npi 1376559070
Pac Id 3375679475
Professional Enrollment Id I20100329000159
Last Name MOUGHON
First Name GORDON
Middle Name W
Suffix
Gender M
Credential
Medical School Name VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1977
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 630 ONEEGA LN
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City ERWIN
State TN
Zip Code 376502199
Phone Number 4237436169
Hospital Affiliation Ccn 1 440001
Hospital Affiliation Lbn 1 UNICOI COUNTY MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 440063
Hospital Affiliation Lbn 2 JOHNSON CITY MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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