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Anita S. Gordon
Point of Service in Atlanta, Georgia
NPI 1144660283

Anita S. Gordon is a Point of Service based in Atlanta, GA. Anita S. Gordon practices in Atlanta, GA. The NPI Number for Anita S. Gordon is 1144660283 and holds a License No. DN009248 (Georgia).

The current practice location address for Anita S. Gordon is 2814 Buford Hwy Ne, Atlanta, GA and can be reached out via phone at 404-486-7661.

Location: 2814 Buford Hwy Ne, Atlanta, GA, 30329-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144660283
Provider Name
Anita S. Gordon
Credential
Provider Entity Type
Organization
Address
2814 Buford Hwy Ne, Atlanta, GA, 30329-2103
Phone Number
404-486-7661
Fax Number
Provider Enumeration Date
07/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000225299A 05 GA
institution
Provider Business Practice Location Address Details
Address
2814 Buford Hwy Ne
City
Atlanta
State
Georgia
Zip
30329-2103
Phone Number
404-486-7661
Fax Number
person
Provider Business Mailing Address Details
Address
2814 Buford Hwy Ne
City
Atlanta
State
Georgia
Zip
30329-2103
Phone Number
404-486-7661
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
DN009248 (Georgia)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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