| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ASHLEY ANNE GORDON | 1518587369 | 2023-05-06 |
Ashley Anne Gordon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518587369. Registration indicates Ashley Anne Gordon is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Ashley Anne Gordon |
| Practice Office Address | 100 EASTOWNE DR CHAPEL HILL, NC US |
| Practice Office Telephone | 9849742950 |
| Practice Office Fax | 8606794624 |
| Mailing Address | 100 EASTOWNE DR CHAPEL HILL, NC 275142286 US |
| Business Telephone | 9849742950 |
| Business Fax | 8606794624 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |