Individual
HANNAH MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4414 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7520
(919) 787-0266
(919) 571-9314
Mailing address
4414 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7520
(919) 787-0266
(919) 571-9314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2025-01411
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
06/23/2025
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