Individual
MELISSA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 OLD NORCROSS RD, STE 100, LAWRENCEVILLE, GA 30046-3393
(770) 339-1500
(770) 995-6172
Mailing address
748 OLD NORCROSS RD, STE 100, LAWRENCEVILLE, GA 30046-3393
(770) 339-1500
(770) 995-6172
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003770
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822770956D
—
GA
Enumeration date
03/17/2008
Last updated
02/01/2017
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