Individual
JILL ANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
148 GLYNN ADDY DR, STOCKBRIDGE, GA 30281-6471
(404) 304-5858
Mailing address
148 GLYNN ADDY DR, STOCKBRIDGE, GA 30281-6471
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
6382
GA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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