Individual
TANITA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 974-9500
(614) 953-2802
Mailing address
2540 BILLINGSLEY RD, COLUMBUS, OH 43235-1990
(614) 602-6476
(614) 953-2802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
06/24/2025
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