Gordon, Karyn Bayyinah
Gordon, Karyn Bayyinah is an individual health care provider with primary practice located at 2295 E 14Th St Ste 100, Winston Salem NC 27105-6804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gordon, Karyn Bayyinah can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
2295 E 14Th St Ste 100
Winston Salem NC 27105-6804
Phone: (336) 716-2255
Fax: (336) 725-2173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 98-00875 | North Carolina |
Profile Details
| NPI number | 1144213414 |
|---|---|
| LBN Legal business name | Gordon, Karyn Bayyinah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Apr 21st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144213414 | NPPES |
| North Carolina | MEDICAID | 7910406 |
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