Whalio Doctors

NPI 1043951569

Tequila S Gordon-Jones

Practitioner Nursing Home Administrator Marion, SC

Practice location

Address
408 Geneva Ave, Marion, SC 29571-5336
Phone
(843) 423-0120
Mailing address
3110 Greystone Dr, Florence, SC 29501-7030

Registered specialties

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X Licence 123577C14 (SC)

Registry record

NPI
1043951569
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Apr 2022
Record last updated
6 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.