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Individual

CHRISTINE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 UNIVERSITY PKWY, AIKEN, SC 29801-6387
(803) 643-1977
(803) 644-2743
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
19642
SC
363LF0000X
Family Nurse Practitioner
Primary
19642
SC

Other

Enumeration date
07/31/2015
Last updated
08/18/2021
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