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Dr. Charles Marvin Gordon JR., MD
Orthopedic Surgery of the Spine Physician in Daphne, Alabama
NPI 1275825135

Charles Marvin Gordon JR. is a Orthopedic Surgery of the Spine Physician based in Daphne, AL and is specialized in Orthopedic Surgery of the Spine. Charles Marvin Gordon JR. practices in Daphne, AL and has the professional credentials of MD. The NPI Number for Charles Marvin Gordon JR. is 1275825135 and holds a License No. (Alabama).

The current practice location address for Charles Marvin Gordon JR. is 1505 Daphne Ave, Daphne, AL and can be reached out via phone at 251-625-2663.

Location: 1505 Daphne Ave, Daphne, AL, 36526-4298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275825135
Provider Name
Charles Marvin Gordon JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1505 Daphne Ave, Daphne, AL, 36526-4298
Phone Number
251-625-2663
Fax Number
Provider Enumeration Date
05/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1505 Daphne Ave
City
Daphne
State
Alabama
Zip
36526
Phone Number
251-625-2663
Fax Number
person
Provider Business Mailing Address Details
Address
1505 Daphne Ave
City
Daphne
State
Alabama
Zip
36526
Phone Number
251-625-2663
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
MD36872 (Alabama)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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