Individual
JONAH PHILLIP GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1029
(336) 716-0143
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1029
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
RTL25-0530
NC
Other
Enumeration date
07/31/2024
Last updated
06/04/2025
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