Individual
DR. GREGORY ANDREW GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 MARKET ST, SUITE 234, FLOWOOD, MS 39232-3339
(601) 214-3539
(601) 914-7201
Mailing address
232 MARKET ST, SUITE 234, FLOWOOD, MS 39232-3339
(601) 214-3539
(601) 914-7201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16391
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120813
—
MS
05
—
179088
—
AL
01
—
260044396
RAILROAD MEDICARE
MS
01
—
P00657494
MEDICARE RR
MS
Enumeration date
06/23/2006
Last updated
11/02/2016
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