LISA GORDON

ORANGEBURG, SC
NPI1497187744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  18441)
Enumeration Date2013-08-08
Last Update Date2015-01-09
Business Address
-- LISA GORDON FNP
1175 COOK RD SUITE 230
ORANGEBURG, SC 29118-8201
Phone number: 803-395-3900
Mailing Address
-- LISA GORDON FNP
PO BOX 1245
ORANGEBURG, SC 29116-1245
Phone number: 803-395-4561
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