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Contact Information

LORELL C GORDON, LICENSED PROFESSIONA
167 ALABAMA ST
SPARTANBURG, SC29302
 Phone: 864-583-1010
 Fax: 864-582-6361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LORELL C GORDON · (Female)

NPI # 1114936036
Status Active
Credentials LICENSED PROFESSIONA
Entity Individual
Enumeration date 08/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 3423
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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