Healthcare Provider Details

I. General information

NPI: 1992523849
Provider Name (Legal Business Name): ANN GORDON FINNEY MINK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 ERCKMANN DR STE C
MT PLEASANT SC
29464-5536
US

IV. Provider business mailing address

5111 N RHETT AVE
NORTH CHARLESTON SC
29405-4219
US

V. Phone/Fax

Practice location:
  • Phone: 843-971-7668
  • Fax:
Mailing address:
  • Phone: 843-804-9479
  • Fax: 843-804-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12451
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016076
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: