Gordon, Charles Marvin

Gordon, Charles Marvin is an individual health care provider with primary practice located at 1505 Daphne Ave , Daphne AL 36526. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Gordon, Charles Marvin can be contacted via phone (251) 625-2663.

Contact Information

Primary practice address
1505 Daphne Ave Daphne AL 36526
Phone: (251) 625-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD36872 Alabama

Profile Details

NPI number 1275825135
LBN Legal business name Gordon, Charles Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Aug 1st, 2018 - about 7 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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