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Michael C. Gordon, Md, Llc
Addiction Medicine (Psychiatry & Neurology) Physician in Smyrna, Georgia
NPI 1598957011

Michael C. Gordon, Md, Llc is an Addiction Medicine (Psychiatry & Neurology) Physician based in Smyrna, GA and is specialized in Addiction Medicine. Michael C. Gordon, Md, Llc practices in Smyrna, GA. The NPI Number for Michael C. Gordon, Md, Llc is 1598957011 and holds a License No. 026534 (Georgia).

The current practice location address for Michael C. Gordon, Md, Llc is 4015 S Cobb Dr Se, Smyrna, GA and can be reached out via phone at 770-801-0980 and via fax at 770-801-9039.

Location: 4015 S Cobb Dr Se, Smyrna, GA, 30080-6303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598957011
Provider Name
Michael C. Gordon, Md, Llc
Credential
Provider Entity Type
Organization
Address
4015 S Cobb Dr Se, Smyrna, GA, 30080-6303
Phone Number
770-801-0980
Fax Number
770-801-9039
Provider Enumeration Date
08/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
461679 01 GA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4015 S Cobb Dr Se
City
Smyrna
State
Georgia
Zip
30080-6303
Phone Number
770-801-0980
Fax Number
770-801-9039
person
Provider Business Mailing Address Details
Address
4015 S Cobb Dr Se
City
Smyrna
State
Georgia
Zip
30080-6303
Phone Number
770-801-0980
Fax Number
770-801-9039
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
026534 (Georgia)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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