Search › Georgia › 363A00000X
Chanel Gordon, PA-C
NPI 1760877666 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6690 Roswell Rd Ste 510
Atlanta, GA 30328 - Phone
- (678) 884-0090
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-01
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