Individual
REBECCA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LN
Contact information
Practice address
595 BEATEN PATH RD, MOORESVILLE, NC 28117-8982
(704) 775-9300
Mailing address
PO BOX 4833, MOORESVILLE, NC 28117-4833
(704) 775-9300
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU000003
NC
374J00000X
Doula
10-201604
NC
Other
Enumeration date
09/15/2017
Last updated
07/01/2025
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