Individual
ANTHONY ROY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
230 CEDAR POINTE DR, ATHENS, GA 30605-3339
(706) 208-9977
(949) 955-7016
Mailing address
1110 CLUB ESTATES CT, STATHAM, GA 30666-2659
(706) 208-9977
(949) 955-7016
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00807661A
—
GA
Enumeration date
05/01/2006
Last updated
02/24/2017
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