Individual
KAREN M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-7717
Mailing address
PO BOX 725472, ATLANTA, GA 31139-2472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN097432
GA
Other
Enumeration date
07/06/2006
Last updated
04/11/2013
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