Individual
DR. ELIZABETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5082
(478) 825-8691
Mailing address
2107 N DECATUR RD, #434, DECATUR, GA 30033-5305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060177
GA
Other
Enumeration date
12/31/2007
Last updated
02/20/2010
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