Landis Coffee Gordon PA-C

  • NPI 1457329641
According to our database, the NPI number for Landis Coffee Gordon PA-C is 1457329641 and activated since 18 years ago. Landis Coffee Gordon PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 901 18th St E, Tifton, GA 31794. You can also contact Landis Coffee Gordon PA-C via telephone number is (229) 382-7120. Provider NPI information was last updated on 03/24/2021.

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Overview of Landis Coffee Gordon PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/14/2006
  • Last updated: 03/24/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 003887
  • License State: GA

Provider Mailing Address

  • Address: 907 18th St E Ste 400
    Tifton, GA 31794
  • Phone: 229-353-3422
  • Fax: 229-353-6060

Provider Practice Location

  • Address: 901 18th St E
    Tifton, GA 31794
  • Phone: 229-382-7120
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 003887
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100002324A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Landis Coffee Gordon PA-C?
  • A: The npi number for Landis Coffee Gordon PA-C is 1457329641.
  • Q: What are Landis Coffee Gordon PA-C's specialties?
  • A: Landis Coffee Gordon PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Landis Coffee Gordon PA-C?
  • A: The medical license number for Landis Coffee Gordon PA-C is 003887 and issued in GA in USA.
  • Q: Where is Landis Coffee Gordon PA-C practice location?
  • A: Landis Coffee Gordon PA-C is practicing at 901 18th St E, Tifton, GA 31794.
  • Q: How to contact Landis Coffee Gordon PA-C?
  • A: You can contact Landis Coffee Gordon PA-C via 229-382-7120.