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Individual

FREDERICK WALTER GOURDIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344
Mailing address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
9800549
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8911375
NC
Enumeration date
02/21/2006
Last updated
07/09/2007
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