Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAMMY LESHAE GORDON, COTA
Active Sole ProprietorMRS. TAMMY LESHAE GORDON, COTA is a Health Maintenance Organization healthcare provider located in HILTON HEAD, South Carolina. NPI 1780846063 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · HILTON HEAD, SC
Registration Details
- NPI Number
- 1780846063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2008 (18.120159805627 yrs)
- Last Updated
- Jun 27, 2008
- License
-
OTA10395 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
175 COLONNADE CLBHILTON HEAD, SC, 299287804Browse SC providers · Browse ZIP 29928
- Phone
- 8509601650
- Primary Specialty
-
Health Maintenance Organization
302R00000X
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.