Individual
DR. CHARLES MARVIN GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 DAPHNE AVE, DAPHNE, AL 36526
(251) 625-2663
Mailing address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD36872
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2011
Last updated
08/01/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us