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Individual

LINDSEY MARIE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9 RICHLAND MEDICAL PARK DR STE 270, COLUMBIA, SC 29203-6860
(803) 434-3572
(803) 434-8607
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2556
AL
2080P0210X
Pediatric Nephrology Physician
2556
AL
2080P0210X
Pediatric Nephrology Physician
Primary
92454
SC

Other

Enumeration date
04/12/2018
Last updated
08/16/2024
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