SearchSouth Carolina376G00000X

Tequila Gordon-Jones

NPI 1043951569 · on the registry since 2022

Practice

Address
408 Geneva Ave
Marion, SC 29571
Phone
(843) 423-0120

Registry record

Primary taxonomy
376G00000X
376G00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina