Anthony Roy Gordon in Statham - Foot Surgery
Anthony Roy Gordon - NPI 1386602464
Anthony Roy Gordon is a Foot Surgery in Statham, Georgia. Anthony Roy Gordon practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Anthony Roy Gordon is 1386602464. The last update date is 2017-02-24.
Anthony Roy Gordon's current location address is 1110 Club Estates Ct, Statham, Georgia. You can contact this provider via phone number 7062089977 and fax number 9499557016. The mailing address for Anthony Roy Gordon is 1110 Club Estates Ct, Statham, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Roy Gordon |
|---|---|
| Address | 1110 Club Estates Ct, Statham, Georgia |
| Phone Number | 7062089977 |
| Fax Number | 9499557016 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1386602464 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2017-02-24 |
Provider Mailing Address Detail
| Address | 1110 Club Estates Ct |
|---|---|
| City | Statham |
| State | Georgia (GA) |
| Post Code | 306662659 |
| Phone Number | 7062089977 |
| Fax Number | 9499557016 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 827 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00807661A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Anthony Roy Gordon by the Centers for Medicare & Medicaid Services?
The Anthony Roy Gordon has been issued the NPI (National Provider Identifier) 1386602464. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Anthony Roy Gordon is physically located?
The Anthony Roy Gordon is situated at the following address: 1110 Club Estates Ct, Statham, GA 306662659.
What is Anthony Roy Gordon's area of expertise and its corresponding taxonomy classification?
The Anthony Roy Gordon's field of specialization is Foot Surgery, and it falls under the taxonomy code 213Es0131X, which categorizes healthcare providers based on their areas of practice.
On what date did the Anthony Roy Gordon receive its 1386602464 assignment from the Centers for Medicare & Medicaid Services?
The Anthony Roy Gordon was assigned its 1386602464 by the Centers for Medicare & Medicaid Services on 2006-05-01.
When was the information related to Anthony Roy Gordon most recently updated or refreshed?
The details pertaining to the Anthony Roy Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-24.
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