Individual
KRISTI D GORDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2636 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 636-1919
(252) 636-2656
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 247-3257
(252) 247-1076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012-00118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194719344
—
NC
01
—
134C9
BLUE CROSS
—
Enumeration date
09/02/2005
Last updated
07/30/2019
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