Lloyd James Gordon in Brandon - Addiction Medicine
Lloyd James Gordon - NPI 1730289802
Lloyd James Gordon is a Addiction Medicine in Brandon, Mississippi. Lloyd James Gordon practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Lloyd James Gordon is 1730289802. The last update date is 2016-02-11.
Lloyd James Gordon's current location address is 105 Colony Crown, Brandon, Mississippi. You can contact this provider via phone number 6018293158 and fax number 6018299389. The mailing address for Lloyd James Gordon is 105 Colony Crown, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lloyd James Gordon |
|---|---|
| Address | 105 Colony Crown, Brandon, Mississippi |
| Phone Number | 6018293158 |
| Fax Number | 6018299389 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730289802 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2016-02-11 |
Provider Mailing Address Detail
| Address | 105 Colony Crown |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390478202 |
| Phone Number | 6018293158 |
| Fax Number | 6018299389 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 7875 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique identification code assigned to Lloyd James Gordon by the Centers for Medicare & Medicaid Services?
The Lloyd James Gordon has been issued the NPI (National Provider Identifier) 1730289802. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lloyd James Gordon located?
The Lloyd James Gordon is located at 105 Colony Crown, Brandon, MS 390478202.
What is Lloyd James Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lloyd James Gordon is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 207Ra0401X.
On what date did the Lloyd James Gordon receive the assignment of its 1730289802 from the Centers for Medicare & Medicaid Services?
The Lloyd James Gordon was issued its 1730289802 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date was the information regarding Lloyd James Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lloyd James Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-11.
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