Individual
RACHEL MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 SOUTHERN DR APT 1705, COLUMBIA, SC 29201-5643
(904) 738-2557
Mailing address
1050 SOUTHERN DR APT 1705, COLUMBIA, SC 29201-5643
(904) 738-2557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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