Organization
GORDON FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY NUTTALL GORDON M.D. (OWNER)
(910) 272-0444
Entity
Organization
Contact information
Practice address
725 OAKRIDGE BLVD, SUITE A-1, LUMBERTON, NC 28358-2351
(910) 272-0444
(910) 272-0445
Mailing address
725 OAKRIDGE BLVD, SUITE A-1, LUMBERTON, NC 28358-2351
(910) 272-0444
(910) 272-0445
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9901642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903383
—
NC
Enumeration date
06/26/2006
Last updated
08/22/2020
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