CHELSEA GOUGH

CHARLOTTE, NC
NPI1124477377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-06438)
Enumeration Date2016-06-08
Last Update Date2017-02-27
Business Address
-- CHELSEA GOUGH
340 JAKE ALEXANDER BLVD. WEST SUITE 105
CHARLOTTE, NC 28203-5812
Phone number: 704-403-6240
Mailing Address
-- CHELSEA GOUGH
PO BOX 602478
CHARLOTTE, NC 28260-2478
Phone number: 704-403-6240