Individual
MRS. BARBARA L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 941-8100
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 941-8100
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
31830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075749
—
OH
01
—
35074717C
STATE LICENSE
ID
Enumeration date
01/16/2006
Last updated
01/20/2012
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