Individual
MR. JERRY WAYNE GORDON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2868 ACTON ROAD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8361
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-141671
AL
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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