BRENDA GORDON

Specialist - Prosthetics Case Management

Active Individual
NPI: 1396132320

Practice Address

3983 LAVISTA RD
SUITE 164
Tucker, GA 30084

Phone: (404) 861-0807

Specialties

Specialty Code Primary License
Specialist - Prosthetics Case Management 1744P3200X Yes 059684695 (GA)

Frequently Asked Questions

NPI 1396132320 is the National Provider Identifier for BRENDA GORDON, a Specialist - Prosthetics Case Management provider located in Tucker, GA. This NPI was enumerated on April 16, 2015.
BRENDA GORDON practices at 3983 LAVISTA RD, SUITE 164, Tucker, GA 30084.

Quick Facts

NPI
1396132320
Type
Individual
Enumerated
Apr 16, 2015
Last Updated
Apr 16, 2015

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