Rick Gordon is a Registered Nurse in Dalton, Georgia. Rick Gordon practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Rick Gordon is 1073606273. The last update date is 2007-07-08.
Rick Gordon's current location address is 1419 Chattanooga Ave, Dalton, Georgia. You can contact this provider via phone number 7062594435 and fax number 7062262283. The mailing address for Rick Gordon is 1419 Chattanooga Ave, Dalton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rick Gordon |
|---|---|
| Address | 1419 Chattanooga Ave, Dalton, Georgia |
| Phone Number | 7062594435 |
| Fax Number | 7062262283 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1073606273 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1419 Chattanooga Ave |
|---|---|
| City | Dalton |
| State | Georgia (GA) |
| Post Code | 307202642 |
| Phone Number | 7062594435 |
| Fax Number | 7062262283 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN04307 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000487352C | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Rick Gordon by the Centers for Medicare & Medicaid Services?
The Rick Gordon has been issued the NPI (National Provider Identifier) 1073606273. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rick Gordon's physical address?
The Rick Gordon is physically located at 1419 Chattanooga Ave, in the city of Dalton, GA, with the postal code 307202642.
What is Rick Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rick Gordon's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073606273 to Rick Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1073606273 to Rick Gordon on 2006-10-02.
As of what date was the information pertaining to Rick Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rick Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.