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Dr. Richard Alan Gordon, MD
Specialist in Conyers, Georgia
NPI 1942366174

Richard Alan Gordon is a Specialist based in Conyers, GA. Richard Alan Gordon practices in Conyers, GA and has the professional credentials of MD. The NPI Number for Richard Alan Gordon is 1942366174 and holds a License No. 020436 (Georgia).

The current practice location address for Richard Alan Gordon is 1145 Winterberry Way Se, Conyers, GA and can be reached out via phone at 770-483-1501 and via fax at 770-483-1894.

Location: 1145 Winterberry Way Se, Conyers, GA, 30013-2446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942366174
Provider Name
Richard Alan Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1145 Winterberry Way Se, Conyers, GA, 30013-2446
Phone Number
770-483-1501
Fax Number
770-483-1894
Provider Enumeration Date
12/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00198833A 05 GA
institution
Provider Business Practice Location Address Details
Address
1145 Winterberry Way Se
City
Conyers
State
Georgia
Zip
30013-2446
Phone Number
770-483-1501
Fax Number
770-483-1894
person
Provider Business Mailing Address Details
Address
1145 Winterberry Way Se
City
Conyers
State
Georgia
Zip
30013-2446
Phone Number
770-483-1501
Fax Number
770-483-1894
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
020436 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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