Jeffrey Craig Gourdine in Hartsville - General Practice
Jeffrey Craig Gourdine - NPI 1720045776
Jeffrey Craig Gourdine is a General Practice in Hartsville, South Carolina. Jeffrey Craig Gourdine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Craig Gourdine is 1720045776. The last update date is 2017-09-13.
Jeffrey Craig 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 Jeffrey Craig Gourdine is Po Box 1090, Hartsville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Craig Gourdine |
|---|---|
| Address | Po Box 1090, Hartsville, South Carolina |
| Phone Number | 8438570111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1720045776 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| 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 | 4022 |
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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 |
|---|---|---|---|
| ZX4022 | SC | -- |
Post Comment/ Review Below
What is the Jeffrey Craig Gourdine's unique identification number?
The Jeffrey Craig Gourdine has been assigned the NPI (National Provider Identifier) Number 1720045776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jeffrey Craig Gourdine is geographically located?
The Jeffrey Craig Gourdine is physically situated at the following location: Po Box 1090, Hartsville, SC, 295511090.
What is Jeffrey Craig Gourdine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffrey Craig Gourdine is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720045776 to Jeffrey Craig Gourdine?
The Centers for Medicare & Medicaid Services originally issued the 1720045776 to Jeffrey Craig Gourdine on 2006-04-26.
As of what date was the information pertaining to Jeffrey Craig Gourdine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Craig Gourdine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-09-13.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN