Jon Martin Mcgough M.D.

NPI 1639499254 - Internal Medicine - 207R00000X

NPI Details
NPI 1639499254
Gender Male
Enumeration Date 06/04/2010
Last Updated 07/09/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
CHARLESTON SC, 29412-2638, US
Phone (843) 876-1139
Business Location
PO BOX 602108
CHARLOTTE NC, 28260-2108, US
Phone (843) 792-6200
Taxonomy Code 207R00000X
License State South Carolina
License Number MMD.32722 LL
Remove 1639499254 NPI Number

According to our database, Dr. Jon Martin Mcgough M.D. NPI is 1639499254, taxonomy code is 207R00000X and license number is MMD.32722 LL, license state is located at South Carolina. Jon Martin Mcgough M.D. physically located at 490 Martello Dr, Charleston SC, 29412-2638. NPI Number Jon Martin Mcgough M.D. has the Individual type.

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1639499254 NPI number is provided on an as is basis without warranty of any kind. 1639499254 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Martin Mcgough M.D. are for informational purposes only.