Gordon Gephardt MD

NPI 1063463008 - Pathology - 207ZP0102X

NPI Details
NPI 1063463008
Gender Male
Enumeration Date 05/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
677 CHURCH ST NE
MARIETTA GA, 30060-1101, US
Phone (770) 793-5435
Fax
Business Location
677 CHURCH ST NE
MARIETTA GA, 30060-1101, US
Phone (770) 793-5435
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State Georgia
License Number 036160
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According to our database, Dr. Gordon Gephardt MD NPI is 1063463008, taxonomy code is 207ZP0102X and license number is 036160, license state is located at Georgia. Gordon Gephardt MD physically located at 677 Church St Ne, Marietta GA, 30060-1101. NPI Number Gordon Gephardt MD has the Individual type.

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1063463008 NPI number is provided on an as is basis without warranty of any kind. 1063463008 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Gephardt MD are for informational purposes only.