Individual
MR. OSCAR GORDON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2457 DAKOTA TRL SW, LILBURN, GA 30047-5772
(678) 531-1232
Mailing address
4426 HUGH HOWELL RD # 117, TUCKER, GA 30084-4918
(678) 383-7279
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
MT009326
GA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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