JEANINE ALICIA GOURDINE

SUMMERVILLE, SC
NPI1427014786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  4061)
Enumeration Date2006-04-25
Last Update Date2017-09-13
Business Address
-- JEANINE ALICIA GOURDINE D.M.D.
100 OMALLEY DR SUITE B
SUMMERVILLE, SC 29483-5635
Phone number: 843-261-0123
Mailing Address
-- JEANINE ALICIA GOURDINE D.M.D.
PO BOX 1090 SUITE B
HARTSVILLE, SC 29551-1090
Phone number: 843-857-0111