Individual
DR. BERTHA LYNN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
139 RALPH MCGILL BLVD NE, ATLANTA, GA 30308-3339
(404) 589-9040
(404) 589-1615
Mailing address
139 RALPH MCGILL BLVD NE, ATLANTA, GA 30308-3339
(404) 589-9040
(404) 589-1615
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49018
GA
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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