Individual
DR. FRANK V GORDON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
308 S 5TH ST, GRIFFIN, GA 30224-4344
(770) 229-1150
Mailing address
320 RAMPART ST, MCDONOUGH, GA 30253-6484
(770) 229-1150
(770) 229-1150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P0000001857
TN
103T00000X
Psychologist
Primary
PSY001858
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032590
AMERIGROUP
GA
Enumeration date
04/02/2007
Last updated
07/09/2007
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