Gordon, Jessica Kayla
Gordon, Jessica Kayla is an individual health care provider with primary practice located at 50 E Hospital St Ste 3 , Manning SC 29102-3149. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gordon, Jessica Kayla can be contacted via phone (803) 435-8828.Contact Information
Primary practice address
50 E Hospital St Ste 3
Manning SC 29102-3149
Phone: (803) 435-8828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | V0405 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | LL83656 | South Carolina |
Profile Details
| NPI number | 1750967378 |
|---|---|
| LBN Legal business name | Gordon, Jessica Kayla |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2021 |
| Last updated | Jul 12th, 2024 - about 5 months 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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