Neumon Taylor Goshorn, MD | |
1364 Cordova Cv, Germantown, TN 38138-2200 | |
(901) 682-4456 | |
(901) 207-4882 |
Full Name | Neumon Taylor Goshorn |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1364 Cordova Cv, Germantown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073537619 | NPI | - | NPPES |
4054019 | Other | TN | AETNA |
0084911 | Other | TN | BLUECROSS BLUESHIELD TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 19135 (Tennessee) | Primary |
Entity Name | Goshorn Aesthetic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225433873 PECOS PAC ID: 2365750049 Enrollment ID: O20150929002600 |
Mailing Address | Practice Location Address |
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Neumon Taylor Goshorn, MD 1364 Cordova Cv, Germantown, TN 38138-2200 Ph: (901) 682-4456 | Neumon Taylor Goshorn, MD 1364 Cordova Cv, Germantown, TN 38138-2200 Ph: (901) 682-4456 |
Dr. Thad Hagan Ferrell, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7730 Wolf River Blvd, Suite 112, Germantown, TN 38138 Phone: 901-755-9211 Fax: 901-755-9232 | |
Dr. Mark H Peters, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9037 Poplar Ave, Ste 101, Germantown, TN 38138 Phone: 901-235-5753 Fax: 985-223-2604 |