Organization
SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. GORDON MD (OWNER)
(865) 777-0088
Entity
Organization
Contact information
Practice address
11126 KINGSTON PIKE, KNOXVILLE, TN 37934-2806
(865) 777-0088
(865) 777-2015
Mailing address
PO BOX 25686, BELFAST, ME 04915-2007
(617) 402-1000
(617) 402-1099
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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