NPI 1255579330
Phoebe Gordon, MT
Practice location
- Address
- 109 Pine Knoll Dr APT 324, Ridgeland, MS 39157-1350
- Phone
- (601) 940-0043
Registered specialties
Blood Banking Specialist/Technologist
Primary
Registry record
- NPI
- 1255579330
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jan 2009
- Record last updated
- 28 Jan 2009
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.