Individual
ALAN N GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 PINE ST, STE 760, MACON, GA 31201-2100
(478) 633-6090
(478) 633-4080
Mailing address
840 PINE ST, STE 760, MACON, GA 31201-2100
(478) 633-6090
(478) 633-4080
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
066740
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278322300
—
FL
05
—
778269
—
AZ
Enumeration date
08/19/2005
Last updated
05/23/2013
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