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Contact Information

PHOEBE GORDON, MT
109 PINE KNOLL DR
APT 324
RIDGELAND, MS39157-1350
 Phone: 601-940-0043
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Blood Banking

246QB0000X
Indicates primary specialty

NPI Profile & details for PHOEBE GORDON · (Female)

NPI # 1255579330
Status Active
Credentials MT
Entity Individual
Enumeration date 01/28/2009
Last updated 01/28/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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