Organization
SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC
Active
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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