Individual
KARYN BAYYINAH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2295 E 14TH ST, STE 100, WINSTON SALEM, NC 27105-6804
(336) 716-2255
(336) 725-2173
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 725-2173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
98-00875
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7910406
—
NC
Enumeration date
08/23/2005
Last updated
04/21/2011
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