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Individual

KATHLEEN G GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
UNC CH DEPARTMENT OF OPHTHALMOLOGY, 130MASON FARM RD, 5151 BIOINFORMATICS, CHAPEL HILL, NC 27599-7040
(919) 966-5296
(919) 966-1908
Mailing address
105 BENDING BRANCH CT, MORRISVILLE, NC 27560-5904
(919) 678-9987

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200301119
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800622
UNITED HEALTHCARE
NC
01
1366A
BCBS NC
NC
01
2129642
MAMSI
NC
01
31770
OPTICARE
NC
01
5177534
AETNA
NC
01
805415
PARTNERS
NC
05
891366A
NC
01
D5541
MEDCOST
NC
Enumeration date
08/03/2005
Last updated
12/09/2014
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