Individual
PHOEBE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
109 PINE KNOLL DR, APT 324, RIDGELAND, MS 39157-1350
(601) 940-0043
Mailing address
109 PINE KNOLL DR, APT 324, RIDGELAND, MS 39157-1350
(601) 940-0043
Taxonomy
Speciality
Code
Description
License number
State
246QB0000X
Blood Banking Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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