Maxie Gordon Md & Associates, Pllc in Clinton - Psychiatry

Maxie Gordon Md & Associates, Pllc - NPI 1114105665

Maxie Gordon Md & Associates, Pllc is a Psychiatry in Clinton, Mississippi. Maxie Gordon Md & Associates, Pllc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Maxie Gordon Md & Associates, Pllc is 1114105665. The last update date is 2019-08-21.

Maxie Gordon Md & Associates, Pllc's current location address is 590 Springridge Rd, Clinton, Mississippi. You can contact this provider via phone number 6014888101 and fax number 6622875678. The mailing address for Maxie Gordon Md & Associates, Pllc is 590 Springridge Rd, Clinton, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Maxie Gordon Md & Associates, Pllc
Address 590 Springridge Rd, Clinton, Mississippi
Phone Number 6014888101
Fax Number 6622875678
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Walton Teandra
Telephone Number 6014888101

NPI Number Detail

NPI Number 1114105665
Provider Enumeration Date 2008-02-07
Last Updated Date 2019-08-21

Provider Mailing Address Detail

Address 590 Springridge Rd
City Clinton
State Mississippi (MS)
Post Code 390565606
Phone Number 6014888101
Fax Number 6622875678

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 9801288
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8723392 MS --

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FAQs about Maxie Gordon Md & Associates, Pllc

What is the unique identifier code issued to Maxie Gordon Md & Associates, Pllc by the Centers for Medicare & Medicaid Services?

The Maxie Gordon Md & Associates, Pllc has been assigned the NPI (National Provider Identifier) 1114105665. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Maxie Gordon Md & Associates, Pllc is physically located?

The Maxie Gordon Md & Associates, Pllc is situated at the following address: 590 Springridge Rd, Clinton, MS 390565606.

What is Maxie Gordon Md & Associates, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Maxie Gordon Md & Associates, Pllc is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.

When was the Maxie Gordon Md & Associates, Pllc's 1114105665 issued?

The Maxie Gordon Md & Associates, Pllc's 1114105665 was issued on 2008-02-07.

As of what date was the information pertaining to Maxie Gordon Md & Associates, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Maxie Gordon Md & Associates, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-21.

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