| Joy Byrd Gough, OT | |
|
2210b Mill Street Ext, Lucedale, MS 39452-6064 | |
| (601) 947-9005 | |
| (601) 947-9007 |
| Full Name | Joy Byrd Gough |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2210b Mill Street Ext, Lucedale, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821000159 | NPI | - | NPPES |
| 09015077 | Medicaid | MS | |
| 1033218524 | Other | MS | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1330 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Byrd Gough, OT Po Box 8419, Biloxi, MS 39535-8087 Ph: (228) 388-5714 | Joy Byrd Gough, OT 2210b Mill Street Ext, Lucedale, MS 39452-6064 Ph: (601) 947-9005 |
Laura R Ansley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210b Mill Street Ext, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Amy Polite, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext Ste B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Lamson D Pham, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Afton Andrews Farris, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2210 Mill Street Ext Ste B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Tammy C Wade, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210b Mill Street Ext, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 |