Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA KAYLA GORDON, DO
ActiveDR. JESSICA KAYLA GORDON, DO is a Family Medicine healthcare provider located in MANNING, South Carolina. NPI 1750967378 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANNING, SC
Registration Details
- NPI Number
- 1750967378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2021 (5.3876880407828 yrs)
- Last Updated
- Jul 12, 2024
- Licenses
-
V0405 (TX)LL83656 (SC)
Practice Information
- Address
-
50 E HOSPITAL ST STE 3MANNING, SC, 291023149Browse SC providers · Browse ZIP 29102
- Phone
- 8034358828
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MANNING, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT S EAGERTON JR. | M.D. | 1558366039 |
| LISA E HEICHBERGER | MD | 1730166430 |
| DR. CASSIE LAI KU LIANG | MD | 1447221940 |
| CLARENCE E COKER JR. | MD | 1598738593 |
| EDWARD C. KEITH JR. | MD | 1003878455 |
| JESSICA D. TOWNSEND | M.D. | 1003861881 |
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.