IndividualActive
Janice Gordon
NPI 1730728148 · Contractor · Greenville, SC
Provider details
- NPI number
- 1730728148
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2020-34953 (SC)
Practice location
1120 W Butler Rd Ste I
Greenville, SC 29607-4809
Phone: (864) 269-6985
Fax: (864) 751-1619
Mailing address
1120 W Butler Rd Ste I
Greenville, SC 29607-4809
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.