Individual
JANICE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W BUTLER RD STE I, GREENVILLE, SC 29607-4809
(864) 269-6985
(864) 751-1619
Mailing address
1120 W BUTLER RD STE I, GREENVILLE, SC 29607-4809
(864) 269-6985
(864) 751-1619
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2020-34953
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236118
NAICS
—
01
—
238290
NAICS
—
01
—
238990
NAICS
—
01
—
333921
NAICS
—
01
—
446119
NAICS
—
01
—
532283
NAICS
—
01
—
811198
NAICS
—
Enumeration date
01/02/2020
Last updated
01/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us