Individual
GORDON BORKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 17TH ST, STE 406, COLUMBUS, GA 31901-3500
(770) 488-9212
(678) 547-1494
Mailing address
2835 BRANDYWINE RD, SUITE 300, ATLANTA, GA 30341-5510
(770) 488-9202
(678) 547-1494
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
030959
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00594613A
—
GA
Enumeration date
06/02/2006
Last updated
04/25/2012
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