Individual
STARLA JEAN GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
275 SOMERSET LOOP, SAVANNAH, TN 38372-7713
(731) 695-1086
Mailing address
275 SOMERSET LOOP, SAVANNAH, TN 38372
(731) 695-1086
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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