Search › Georgia › 171400000X
Jamal Gordon
NPI 1669238069 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3204 Sunrise Village Ln Apt B
Norcross, GA 30093 - Phone
- (407) 427-4627
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-23
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