Search › Georgia › 101YM0800X
Johnnie Gordon
NPI 1134964562 · on the registry since 2024 · sole proprietor
Practice
- Address
- 8471 Newman St
Douglasville, GA 30134 - Phone
- (678) 386-1338
- Organisation at this address
- Speaking Life 2 You Resource Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia