Organization
MICHAEL C. GORDON MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C GORDON M.D. (OWNER)
(770) 801-0980
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE, SUITE 220, SMYRNA, GA 30080-6303
(770) 801-0980
(770) 801-9039
Mailing address
4015 S COBB DR SE, SUITE 220, SMYRNA, GA 30080-6303
(770) 801-0980
(770) 801-9039
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
26534
GA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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