Individual
DR. PAMELA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBCHB
Contact information
Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106
(770) 732-6798
(770) 732-6732
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091862
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
069815
GA
Other
Enumeration date
01/27/2009
Last updated
12/04/2019
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