Individual
DR. DANIEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 W GIBSON ST, HARTWELL, GA 30643-1845
(706) 376-6100
(706) 376-3394
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
074827
GA
207R00000X
Internal Medicine Physician
74827
GA
208M00000X
Hospitalist Physician
74827
GA
Other
Enumeration date
05/06/2014
Last updated
09/20/2024
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