Individual
DR. DANIEL S GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3628 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4406
(910) 483-1321
(910) 323-3521
Mailing address
3480 PRESTON RIDGE RD, STE 600, ALPHARETTA, GA 30005-5462
(678) 992-7373
(678) 992-7455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101057637
VA
2085R0202X
Diagnostic Radiology Physician
30402
TN
2085R0202X
Diagnostic Radiology Physician
Primary
9700972
NC
Other
Enumeration date
05/25/2006
Last updated
04/01/2016
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