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Individual

CATHERINE DOAN GORDON

Active
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Individual

CATHERINE DOAN GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004770
NC
363LF0000X
Family Nurse Practitioner
RN191108
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3186240B
GA
05
3186240C
GA
01
RN191108
NP-C
GA
Enumeration date
06/26/2010
Last updated
11/30/2023
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