NPI Profile for PHOEBE GORDON in RIDGELAND, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Blood Banking |
246QB0000X |
| 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 |
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PHOEBE GORDON
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