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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE GORDON

Active Sole Proprietor

STEPHANIE GORDON is a Athletic Trainer healthcare provider located in CENTRAL, South Carolina. NPI 1578970968 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CENTRAL, SC

Registration Details

NPI Number
1578970968
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2014 (12.05113672425 yrs)
Last Updated
Jul 17, 2014
License
939 (SC)
Sole Proprietor
Yes

Practice Information

Address
198 HEATHER DR
CENTRAL, SC, 296309308
Browse SC providers · Browse ZIP 29630
Phone
3042668455
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CENTRAL, SC

Name Credential NPI
MRS. ALEXIS LAUREN ELROD ATC 1922610500
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.