Jefferson Taylor Gordon in Carrollton - Family Medicine
Jefferson Taylor Gordon - NPI 1336167816
Jefferson Taylor Gordon is a Family Medicine in Carrollton, Georgia. Jefferson Taylor Gordon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jefferson Taylor Gordon is 1336167816. The last update date is 2012-01-04.
Jefferson Taylor Gordon's current location address is 100 Professional Pl, Carrollton, Georgia. You can contact this provider via phone number 7708326861 and fax number 7708329432. The mailing address for Jefferson Taylor Gordon is 100 Professional Pl, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jefferson Taylor Gordon |
|---|---|
| Address | 100 Professional Pl, Carrollton, Georgia |
| Phone Number | 7708326861 |
| Fax Number | 7708329432 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336167816 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2012-01-04 |
Provider Mailing Address Detail
| Address | 100 Professional Pl |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301173802 |
| Phone Number | 7708326861 |
| Fax Number | 7708329432 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 33338 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000460996C | GA | -- |
Post Comment/ Review Below
What is the Jefferson Taylor Gordon's 1336167816?
The Jefferson Taylor Gordon's NPI (National Provider Identifier) Number is 1336167816. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jefferson Taylor Gordon?
The Jefferson Taylor Gordon is physically situated at 100 Professional Pl, in the city of Carrollton, state of GA, with the postal code 301173802.
What is Jefferson Taylor Gordon's area of expertise and its corresponding taxonomy classification?
The Jefferson Taylor Gordon's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1336167816 to Jefferson Taylor Gordon?
The Centers for Medicare & Medicaid Services assigned the 1336167816 to Jefferson Taylor Gordon on 2006-07-17.
As of what date was the information pertaining to Jefferson Taylor Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jefferson Taylor Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-04.
NPI Number: 1215930425
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