Organization
GERALD GORDON, MD, FACP, LLC
Active
Other names
Internal Medicine Associates of Aiken
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD GORDON M.D. (PRESIDENT)
(803) 649-5300
Entity
Organization
Contact information
Practice address
102 SUMMERWOOD WAY, AIKEN, SC 29803-7704
(803) 649-5300
(803) 649-0056
Mailing address
PO BOX 5238, AIKEN, SC 29804-5238
(803) 649-5300
(803) 649-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0689
SC
207R00000X
Internal Medicine Physician
Primary
17475
SC
207R00000X
Internal Medicine Physician
21255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6336
RAILROAD MEDICARE
SC
05
—
GP2024
—
SC
Enumeration date
12/28/2005
Last updated
10/22/2007
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