Gordan, Carolyn Doughty

Gordan, Carolyn Doughty is an individual health care provider with primary practice located at 433 W Meadowview Rd , Greensboro NC 27406-4316. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gordan, Carolyn Doughty can be contacted via phone (336) 370-9091.

Contact Information

Primary practice address
433 W Meadowview Rd Greensboro NC 27406-4316
Phone: (336) 370-9091
Fax: (336) 370-4922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300060 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300060 North Carolina

Profile Details

NPI number 1356335657
LBN Legal business name Gordan, Carolyn Doughty
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Feb 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356335657 NPPES
North Carolina MEDICAID ZN000012

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