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Contact Information

GORDON W MOUGHON, MD
630 ONEEGA AVENUE
SUITE B
ERWIN, TN37650
 Phone: 423-743-6169
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GORDON W MOUGHON · (Male)

NPI Number 1376559070
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD12739
  • TN Medicaid 3181522
Hospital affiliation(s)
  • UNICOI COUNTY MEMORIAL HOSPITAL - (Acute Care)
    GREENWAY CIRCLE
    ERWIN, TN 37650
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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