Individual
JENNIFER LEE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 449-2778
(910) 450-4452
Mailing address
NMRTC OKINAWA, PSC 482, FPO AP 96362, FPO, AP 96362
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208600000X
Surgery Physician
Primary
57540
TN
Other
Enumeration date
04/18/2013
Last updated
05/13/2022
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