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Stephanie Gordon
NPI 1578970968 · on the registry since 2014 · sole proprietor
Practice
- Address
- 198 Heather Dr
Central, SC 29630 - Phone
- (304) 266-8455
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-17
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