Individual
MR. CLAUDE R GORDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN REGIONAL MEDICAL CENTER, AIKEN, SC 29801-6302
(803) 641-5489
(803) 641-5148
Mailing address
3532 STEVENS WAY, MARTINEZ, GA 30907-8901
(706) 228-5491
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R94916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1303
—
SC
Enumeration date
10/03/2005
Last updated
07/08/2007
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