Organization
ATLANTIC OB/GYN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A GORDON MD (PRESIDENT)
(228) 871-5047
Entity
Organization
Contact information
Practice address
1110 BROAD AVE, SUITE 100, GULFPORT, MS 39501-8907
(228) 871-5047
Mailing address
1110 BROAD AVE, SUITE 100, GULFPORT, MS 39501-8907
(228) 871-5047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16172
MS
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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