Individual
EUGENIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 975-0512
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 975-0512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2134
AL
Other
Enumeration date
01/20/2023
Last updated
08/24/2023
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