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Tequila S Gordon-jones
Nursing Home Administrator in Marion, South Carolina
NPI 1043951569

Tequila S Gordon-jones is a Nursing Home Administrator based in Florence, SC. Tequila S Gordon-jones practices in Marion, SC. The NPI Number for Tequila S Gordon-jones is 1043951569 and holds a License No. 123577C14 (South Carolina).

The current practice location address for Tequila S Gordon-jones is 408 Geneva Ave, Marion, SC and can be reached out via phone at 843-423-0120.

Location: 408 Geneva Ave, Marion, SC, 29501-7030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043951569
Provider Name
Tequila S Gordon-jones
Credential
Provider Entity Type
Individual
Gender
Female
Address
408 Geneva Ave, Marion, SC, 29501-7030
Phone Number
843-423-0120
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
408 Geneva Ave
City
Marion
State
South Carolina
Zip
29571-5336
Phone Number
843-423-0120
Fax Number
person
Provider Business Mailing Address Details
Address
408 Geneva Ave
City
Marion
State
South Carolina
Zip
29571-5336
Phone Number
843-423-0120
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
123577C14 (South Carolina)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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