Gordon, Mackenzie

Gordon, Mackenzie is an sole proprietor health care provider with primary practice located at 950 15Th St , Augusta GA 30901-2608. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Gordon, Mackenzie can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
950 15Th St Augusta GA 30901-2608
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1710623897
LBN Legal business name Gordon, Mackenzie
Credentials CTRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2022
Last updated May 11th, 2022 - about 2 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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