Jeanine Alicia Gourdine in Hartsville - General Practice
Jeanine Alicia Gourdine - NPI 1427014786
Jeanine Alicia Gourdine is a General Practice in Hartsville, South Carolina. Jeanine Alicia Gourdine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeanine Alicia Gourdine is 1427014786. The last update date is 2017-09-13.
Jeanine Alicia Gourdine's current location address is Po Box 1090, Hartsville, South Carolina. You can contact this provider via phone number 8438570111. The mailing address for Jeanine Alicia Gourdine is Po Box 1090, Hartsville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanine Alicia Gourdine |
|---|---|
| Address | Po Box 1090, Hartsville, South Carolina |
| Phone Number | 8438570111 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1427014786 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2017-09-13 |
Provider Mailing Address Detail
| Address | Po Box 1090 |
|---|---|
| City | Hartsville |
| State | South Carolina (SC) |
| Post Code | 295511090 |
| Phone Number | 8438570111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4061 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZX4061 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeanine Alicia Gourdine by the Centers for Medicare & Medicaid Services?
The Jeanine Alicia Gourdine has been assigned the NPI (National Provider Identifier) 1427014786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jeanine Alicia Gourdine's facilities are situated?
The facilities of Jeanine Alicia Gourdine are physically located at the following address: Po Box 1090, Hartsville, SC, 295511090.
What is Jeanine Alicia Gourdine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeanine Alicia Gourdine is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Jeanine Alicia Gourdine receive its 1427014786 assignment from the Centers for Medicare & Medicaid Services?
The Jeanine Alicia Gourdine was assigned its 1427014786 on 2006-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeanine Alicia Gourdine's information last updated?
The Jeanine Alicia Gourdine's information was last updated on 2017-09-13.