Gordon Family Medicine

NPI 1427084755 - Clinic/Center - 261QP2300X

NPI Details
NPI 1427084755
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAUL ANTHONY NUTTALL PAUL
Position OWNER
Phone (910) 272-0444
Fax (910) 272-0445
Practice Location
725 OAKRIDGE BLVD
SUITE A-1
LUMBERTON NC, 28358-2351, US
Phone (910) 272-0444
Fax (910) 272-0445
Business Location
725 OAKRIDGE BLVD
SUITE A-1
LUMBERTON NC, 28358-2351, US
Phone (910) 272-0444
Fax (910) 272-0445
Toxanomy
Taxonomy Code 261QP2300X
License State North Carolina
License Number 9901642
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According to our database, Gordon Family Medicine NPI is 1427084755, taxonomy code is 261QP2300X and license number is 9901642, license state is located at North Carolina. Gordon Family Medicine physically located at 725 Oakridge Blvd, Lumberton NC, 28358-2351. NPI Number 1033115704 has the healthcare provider type.

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1427084755 NPI number is provided on an as is basis without warranty of any kind. 1427084755 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Family Medicine are for informational purposes only.