Search › North Carolina › 363L00000X
Simone Gordon
NPI 1518638428 · on the registry since 2021 · sole proprietor
Practice
- Address
- 9101 Pineville Matthews Rd # C4
Pineville, NC 28134 - Phone
- (980) 202-7920
- Fax
- (980) 301-9830
Additional practice sites
- 15204 Gathering Ct, Charlotte, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-27
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 North Carolina