Search › Georgia › 174400000X
Richard Gordon, M.D
NPI 1942366174 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1145 Winterberry Way Se
Conyers, GA 30013 - Phone
- (770) 483-1501
- Fax
- (770) 483-1894
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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