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Antwanette Antwanette Gordon
Student in an Organized Health Care Education/Training Program in Mcdonough, Georgia
NPI 1629646104

Antwanette Antwanette Gordon is a Student in an Organized Health Care Education/Training Program based in Mcdonough, GA. Antwanette Antwanette Gordon practices in Mcdonough, GA. The NPI Number for Antwanette Antwanette Gordon is 1629646104 and holds a License No. (Georgia).

The current practice location address for Antwanette Antwanette Gordon is 429 Concord Cir, Mcdonough, GA and can be reached out via phone at 470-269-0878.

Location: 429 Concord Cir, Mcdonough, GA, 30253-8001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629646104
Provider Name
Antwanette Antwanette Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
429 Concord Cir, Mcdonough, GA, 30253-8001
Phone Number
470-269-0878
Fax Number
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
429 Concord Cir
City
Mcdonough
State
Georgia
Zip
30253-8001
Phone Number
470-269-0878
Fax Number
person
Provider Business Mailing Address Details
Address
429 Concord Cir
City
Mcdonough
State
Georgia
Zip
30253-8001
Phone Number
470-269-0878
Fax Number
person
Provider's Taxonomy Details 1
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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