Individual
MS. SASHANA SONIKA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 MEDICAL CENTER BLVD STE 250, LAWRENCEVILLE, GA 30046-3402
(770) 979-4700
(770) 979-1060
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-8035
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034164A
—
GA
Enumeration date
05/15/2014
Last updated
12/08/2021
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