Individual
DR. LEMUEL DURRELL GORDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225B WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 263-6228
(334) 265-9136
Mailing address
225B WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 263-6228
(334) 265-9136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22077
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009958605
—
AL
01
—
051521812
BCBS
AL
01
—
G54042
HEALTH SPRINGS
AL
01
—
P00159247
RAILROAD
GA
Enumeration date
06/27/2005
Last updated
03/14/2024
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