Individual
MS. LINDA RUTH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 QUINTARD AVE STE B, ANNISTON, AL 36201-5712
(256) 741-9799
(256) 714-9795
Mailing address
516 QUINTARD AVE SUITE B, ANNISTON, AL 36201-6806
(256) 741-9799
(256) 714-9795
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24330
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447292637
NPI
AL
01
—
51525709
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/07/2006
Last updated
02/27/2023
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