Brian M Gordon MD

NPI 1083680326 - Radiology - 2085R0202X

NPI Details
NPI 1083680326
Gender Male
Enumeration Date 02/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
AUSTELL GA, 30106-1121, US
Phone (770) 732-4000
Business Location
PO BOX 100023
KENNESAW GA, 30156-9223, US
Phone (770) 779-2170
Taxonomy Code 2085R0202X
License State Georgia
License Number 048781
Remove 1083680326 NPI Number

According to our database, Brian M Gordon MD NPI is 1083680326, taxonomy code is 2085R0202X and license number is 048781, license state is located at Georgia. Brian M Gordon MD physically located at 3950 Austell Rd, Austell GA, 30106-1121. NPI Number Brian M Gordon MD has the Individual type.

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1083680326 NPI number is provided on an as is basis without warranty of any kind. 1083680326 is maintained by the National Plan & Provider Enumeration System. The contents of Brian M Gordon MD are for informational purposes only.