Individual
JAMES W GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-4307
(404) 616-8022
Mailing address
531 ASBURY CIRCLE-ANNEX, SUITE N340, ATLANTA, GA 30322-0001
(404) 778-5975
(404) 778-2630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1338
GA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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