Individual
JOHN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
105 PHYSICIANS PARK DR, CLINTON, SC 29325-7551
(864) 938-0111
(864) 938-0811
Mailing address
PO BOX 3408, IRMO, SC 29063-4015
(803) 732-5887
(803) 732-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8716
SC
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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