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Brenda Gordon
Prosthetics Case Management in Tucker, Georgia
NPI 1396132320

Brenda Gordon is a Prosthetics Case Management based in Atlanta, GA and is specialized in Prosthetics Case Management. Brenda Gordon practices in Tucker, GA. The NPI Number for Brenda Gordon is 1396132320 and holds a License No. 059684695 (Georgia).

The current practice location address for Brenda Gordon is 3983 Lavista Rd, Tucker, GA and can be reached out via phone at 404-861-0807.

Location: 3983 Lavista Rd, Tucker, GA, 30340-3878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396132320
Provider Name
Brenda Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
3983 Lavista Rd, Tucker, GA, 30340-3878
Phone Number
404-861-0807
Fax Number
Provider Enumeration Date
04/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3983 Lavista Rd
City
Tucker
State
Georgia
Zip
30084-5153
Phone Number
404-861-0807
Fax Number
person
Provider Business Mailing Address Details
Address
3983 Lavista Rd
City
Tucker
State
Georgia
Zip
30084-5153
Phone Number
404-861-0807
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
059684695 (Georgia)
Definition
Definition to come...
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