Individual
TANDRA R. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213-1920
(205) 592-5135
Mailing address
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213-1920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.32964
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2011
Last updated
07/23/2015
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