Individual
MR. GORDON DEMETRI MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 LAKEMONT DR, HAMPTON, GA 30228-2641
(912) 222-8422
Mailing address
720 LAKEMONT DR, HAMPTON, GA 30228-2641
(912) 222-8422
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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