Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE G GOURDIN, MD
ActiveDR. THEODORE G GOURDIN, MD is a Gastroenterology healthcare provider located in CHARLESTON, South Carolina. NPI 1821094301 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · CHARLESTON, SC
Registration Details
- NPI Number
- 1821094301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2005 (21.156895065399 yrs)
- Last Updated
- May 7, 2020
- Licenses
-
13033 (SC)13033 (SC)
Practice Information
- Address
-
1962 CHARLIE HALL BLVDCHARLESTON, SC, 294145837Browse SC providers · Browse ZIP 29414
- Phone
- 8437228000
- Fax
- 8436476066
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| DR. NEVEN HADZIJAHIC | MD | 1427054915 |
| DR. LEE M ROYALL | MD | 1578569067 |
| DR. CHARLES A BICKERSTAFF JR. | MD | 1972584712 |
| DR. LEE MICHAEL OBERMAN | MD | 1639154206 |
| DR. TODD ELLIS DANTZLER | M.D. | 1811975923 |
| DR. NGUYEN DUC THIEU | M.D. | 1346218583 |
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.