Individual
SHARONDA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 INDIGO HILLS DR, CHAPIN, SC 29036-7582
(803) 618-3168
(803) 401-5025
Mailing address
6941 N TRENHOLM RD STE F104, COLUMBIA, SC 29206-1715
(803) 618-3168
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
SC
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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