Anita S. Gordon

NPI 1144660283 - Point of Service - 305S00000X

NPI Details
NPI 1144660283
Enumeration Date 07/03/2013
Last Updated 07/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name FELECIA FELECIA
Position OFC MANAGER
Phone (404) 486-7661
Fax
Practice Location
2814 BUFORD HWY NE
ATLANTA GA, 30329-2103, US
Phone (404) 486-7661
Fax
Business Location
2814 BUFORD HWY NE
ATLANTA GA, 30329-2103, US
Phone (404) 486-7661
Fax
Toxanomy
Taxonomy Code 305S00000X
License State Georgia
License Number DN009248
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According to our database, Anita S. Gordon NPI is 1144660283, taxonomy code is 305S00000X and license number is DN009248, license state is located at Georgia. Anita S. Gordon physically located at 2814 Buford Hwy Ne, Atlanta GA, 30329-2103. NPI Number 1033115704 has the healthcare provider type.

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1144660283 NPI number is provided on an as is basis without warranty of any kind. 1144660283 is maintained by the National Plan & Provider Enumeration System. The contents of Anita S. Gordon are for informational purposes only.