Individual
MS. DELLA SHEARER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 HOSPITAL ROAD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
1499 ALABAMA HIGHWAY 199, TUSKEGEE, AL 36083-3709
(334) 727-4054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6700
TN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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