Gordon, Gerald
Gordon, Gerald is an individual health care provider with primary practice located at 102 Summerwood Way , Aiken SC 29803-7704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gordon, Gerald can be contacted via phone (803) 649-5300.Contact Information
Primary practice address
102 Summerwood Way
Aiken SC 29803-7704
Phone: (803) 649-5300
Fax: (803) 649-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17475 | South Carolina |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 17475 | South Carolina |
Profile Details
| NPI number | 1396738753 |
|---|---|
| LBN Legal business name | Gordon, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Oct 22nd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396738753 | NPPES |
| South Carolina | MEDICAID | 174750 |
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