| Neil E Gordon, Md, Pc | |
|
1106 N Main St Cedartown GA 30125-2039 | |
| (770) 748-7818 | |
| Not Available |
| Full Name | Neil E Gordon, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1106 N Main St, Cedartown, Georgia |
| Authorized Official Name and Position | Neil E Gordon (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7707487818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil E Gordon, Md, Pc 1106 N Main St Cedartown GA 30125-2039 Ph: (770) 748-7818 | Neil E Gordon, Md, Pc 1106 N Main St Cedartown GA 30125-2039 Ph: (770) 748-7818 |
| NPI Number | 1386727394 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386727394 | NPI | - | NPPES |
| 000213386A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22411 (Georgia) | Primary |
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