Individual
JAMES GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
340 MEAD RD, DECATUR, GA 30030-3625
(404) 378-1543
Mailing address
340 MEAD RD, DECATUR, GA 30030-3625
(404) 378-1543
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
214
GA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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