Individual
DR. JULIAN BENJAMIN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(770) 457-4677
(770) 457-4428
Mailing address
4370 GEORGETOWN SQ, ATLANTA, GA 30338-6205
(770) 457-4677
(770) 457-4428
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
051763
GA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
051763
GA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
051763
GA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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