Individual
DEBORAH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-1759
(256) 739-0027
Mailing address
1912 CHEROKEE AVE SW, SUITE 2500, CULLMAN, AL 35055-5595
(256) 739-8007
(256) 739-8017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24940
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981665
—
AL
01
—
51000455
BCBS OF AL
AL
Enumeration date
11/23/2005
Last updated
06/11/2008
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