| Dr Charles A Gordon, MD | |
|
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
| (912) 535-5555 | |
| (912) 535-8930 |
| Full Name | Dr Charles A Gordon |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1 Meadows Pkwy, Vidalia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144279548 | NPI | - | NPPES |
| 066957 | Other | PA | HIGHMARK PA BLUE SHIELD |
| 01056706 | Other | PA | CAPITAL BLUE CROSS |
| 110097244 | Other | PA | PALMETTO GBA MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062039 (Georgia) | Primary |
| 208M00000X | Hospitalist | 062039 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles A Gordon, MD Po Box 663, Vidalia, GA 30475-0663 Ph: (912) 535-5555 | Dr Charles A Gordon, MD 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 535-5555 |
Brick Acosta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-5830 | |
Misty Denise Poole, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Dr. Martha Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 | |
Mark Hoerman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-8105 Fax: 912-538-8109 | |
Kenneth S Marvin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474 Phone: 912-535-3500 | |
Sreekanth Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy Ste B, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |