Individual
MRS. CARLENE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 OLDE GREENWICH DRIVE, SUITE 220, FREDERICKSBURG, VA 22408-4010
(540) 898-8001
(540) 898-2127
Mailing address
121 COURTHOUSE LN, BOWLING GREEN, VA 22427-9336
(804) 633-5840
(804) 633-4438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170186
VA
Other
Enumeration date
08/31/2012
Last updated
05/24/2019
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