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NPI Code Detail

MEDICARE: JOSEPH LYNN GOOCH M.D.

MEDICARE:   JOSEPH LYNN GOOCH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician52502TN

General Provider Information

NPI Number : 1659613628
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH LYNN GOOCH M.D.
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : JACKSON
State : TN
Zip : 38302-0400
Country : US
Telephone Number : 731-422-0213
Fax Number : 731-425-5783
Provider Business Practice Location Address
First Line : 2863 HIGHWAY 45 BYP.
Second Line :
City : JACKSON
State : TN
Zip : 38305-3618
Country : US
Telephone Number : 731-422-0213
Fax Number : 431-506-1798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2013
Last Update Date : 02/19/2026

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Directions to “ JOSEPH LYNN GOOCH M.D.” Practice Location

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