Individual
FELIX GORDON, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR, SUITE 360, JACKSON, MS 39216-4643
(601) 200-4370
(601) 200-4375
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13524
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118596
—
MS
Enumeration date
07/20/2006
Last updated
08/27/2015
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