Goggin, Gwenda Faye

Goggin, Gwenda Faye is an individual health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801-4934. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goggin, Gwenda Faye can be contacted via phone (662) 377-6608.

Contact Information

Primary practice address
830 S Gloster St Tupelo MS 38801-4934
Phone: (662) 377-6608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840426 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA078 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840426 Virginia

Profile Details

NPI number 1811943780
LBN Legal business name Goggin, Gwenda Faye
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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