Gordon, Charles David

Gordon, Charles David is an individual health care provider with primary practice located at 6324 Fairview Rd Ste 400 , Charlotte NC 28210-4278. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Gordon, Charles David can be contacted via phone (980) 302-8626.

Contact Information

Primary practice address
6324 Fairview Rd Ste 400 Charlotte NC 28210-4278
Phone: (980) 302-8626
Fax: (980) 302-8639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45189 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2012-01542 North Carolina

Profile Details

NPI number 1265525372
LBN Legal business name Gordon, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 11th, 2021 - about 4 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 1265525372 NPPES
Arizona MEDICAID 630053
Arizona MEDICAID 5921444

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