Organization
MICHAEL C GORDON MD LLC
Active
Other names
Atlanta Center for Pain & Addiction Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C GORDON MD (MEDICAL DIRECTOR)
(770) 801-5811
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE STE 275, SMYRNA, GA 30080-6357
(770) 801-5811
Mailing address
4015 S COBB DR SE STE 275, SMYRNA, GA 30080-6357
(770) 801-5811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
026534
GA
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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