Gary G. Gordon in Meridian - Geriatric Medicine
Gary G. Gordon - NPI 1124010640
Gary G. Gordon is a Geriatric Medicine in Meridian, Mississippi. Gary G. Gordon practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Gary G. Gordon is 1124010640. The last update date is 2013-11-06.
Gary G. Gordon's current location address is 1800 12th St, Meridian, Mississippi. You can contact this provider via phone number 6017039265 and fax number 6017039936. The mailing address for Gary G. Gordon is 1800 12th St, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary G. Gordon |
|---|---|
| Address | 1800 12th St, Meridian, Mississippi |
| Phone Number | 6017039265 |
| Fax Number | 6017039936 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1124010640 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2013-11-06 |
Provider Mailing Address Detail
| Address | 1800 12th St |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393014158 |
| Phone Number | 6017039265 |
| Fax Number | 6017039936 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 7448 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4458061 | MS | -- | |
| 73003105 | AL | BLUE CROSS OF AL | |
| 39981 | AL | MEDICAID OF AL | |
| 130017 | MS | UNITED HEALTH CARE | |
| 80030813 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Gary G. Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Gary G. Gordon has been assigned the NPI (National Provider Identifier) 1124010640. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Gary G. Gordon's physical address?
The Gary G. Gordon is physically located at 1800 12Th St, in the city of Meridian, MS, with the postal code 393014158.
What is Gary G. Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary G. Gordon's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124010640 to Gary G. Gordon?
The Centers for Medicare & Medicaid Services assigned the 1124010640 to Gary G. Gordon on 2005-08-19.
When was the information regarding Gary G. Gordon most recently updated?
The details pertaining to the Gary G. Gordon, including its address, specialty, and other relevant information, were last refreshed on 2013-11-06.
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