Richard Alan Gordon in Conyers - Specialist
Richard Alan Gordon - NPI 1942366174
Richard Alan Gordon is a Specialist in Conyers, Georgia. Richard Alan Gordon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Alan Gordon is 1942366174. The last update date is 2007-07-08.
Richard Alan Gordon's current location address is 1145 Winterberry Way Se, Conyers, Georgia. You can contact this provider via phone number 7704831501 and fax number 7704831894. The mailing address for Richard Alan Gordon is 1145 Winterberry Way Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Alan Gordon |
|---|---|
| Address | 1145 Winterberry Way Se, Conyers, Georgia |
| Phone Number | 7704831501 |
| Fax Number | 7704831894 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942366174 |
|---|---|
| Provider Enumeration Date | 2006-12-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1145 Winterberry Way Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300132446 |
| Phone Number | 7704831501 |
| Fax Number | 7704831894 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 20436 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00198833A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard Alan Gordon by the Centers for Medicare & Medicaid Services?
The Richard Alan Gordon has been assigned the NPI (National Provider Identifier) 1942366174 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Richard Alan Gordon is physically located?
The Richard Alan Gordon is physically situated at the following address: 1145 Winterberry Way Se, Conyers, GA, 300132446.
What is Richard Alan Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Alan Gordon is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Richard Alan Gordon's 1942366174 issued?
The Richard Alan Gordon's 1942366174 was issued on 2006-12-30.
As of what date were the Richard Alan Gordon's details last updated?
The information pertaining to the Richard Alan Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.