# GERALD GORDON, MD, FACP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Internal Medicine Associates of Aiken
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942287305
- **Authorized official:** DR. GERALD GORDON M.D. (PRESIDENT)
- **Authorized official phone:** (803) 649-5300

## Contact information

- **Practice address:** 102 SUMMERWOOD WAY, AIKEN, SC 29803-7704
- **Practice address phone:** (803) 649-5300
- **Practice address fax:** (803) 649-0056
- **Mailing address:** PO BOX 5238, AIKEN, SC 29804-5238
- **Mailing address phone:** (803) 649-5300
- **Mailing address fax:** (803) 649-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0689 | SC | — |
| 207R00000X | Internal Medicine Physician | 17475 | SC | Yes |
| 207R00000X | Internal Medicine Physician | 21255 | SC | — |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 10/22/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CG6336 | RAILROAD MEDICARE | SC |
| 05 | — | GP2024 | — | SC |
