Provider Demographics
NPI:1669567590
Name:GAUGHF, CLAUDIA NADINE (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:NADINE
Last Name:GAUGHF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1436 WILMINGTON ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-4524
Mailing Address - Country:US
Mailing Address - Phone:912-898-8266
Mailing Address - Fax:912-898-8266
Practice Address - Street 1:639 STEPHENSON AVE.
Practice Address - Street 2:A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5970
Practice Address - Country:US
Practice Address - Phone:912-354-7124
Practice Address - Fax:912-353-8944
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-12-19
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Provider Licenses
StateLicense IDTaxonomies
GA037810207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4191Medicare ID - Type Unspecified
GAG50199Medicare UPIN