Individual
WAYNE HOUSTON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 303-3759
Mailing address
9015 BOARDWALK PL, MANVEL, TX 77578-2307
(210) 725-9179
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
101343
GA
2084N0400X
Neurology Physician
35122708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0986747
—
OH
Enumeration date
09/13/2006
Last updated
08/07/2025
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