Individual
DR. NICOLE MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4325 GLENWOOD AVE, RALEIGH, NC 27612-4532
(919) 792-2347
(919) 457-1455
Mailing address
4325 GLENWOOD AVE, RALEIGH, NC 27612-4532
(919) 792-2347
(919) 457-1455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2192
NC
Other
Enumeration date
10/15/2010
Last updated
12/17/2010
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