Gordon, Isabella Agnes

Gordon, Isabella Agnes is an individual health care provider with primary practice located at 3600 Goodwater St , Mt Pleasant SC 29466-7643. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Gordon, Isabella Agnes can be contacted via phone (703) 217-2061.

Contact Information

Primary practice address
3600 Goodwater St Mt Pleasant SC 29466-7643
Phone: (703) 217-2061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1508629890
LBN Legal business name Gordon, Isabella Agnes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - about last year

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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