Dorothy Mia Gordon in Calhoun - Pediatrics
Dorothy Mia Gordon - NPI 1255408993
Dorothy Mia Gordon is a Pediatrics in Calhoun, Georgia. Dorothy Mia Gordon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dorothy Mia Gordon is 1255408993. The last update date is 2021-12-08.
Dorothy Mia Gordon's current location address is 365 S Industrial Blvd, Calhoun, Georgia. You can contact this provider via phone number 7066243000 and fax number 7066243001. The mailing address for Dorothy Mia Gordon is 365 S Industrial Blvd, Calhoun, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorothy Mia Gordon |
|---|---|
| Address | 365 S Industrial Blvd, Calhoun, Georgia |
| Phone Number | 7066243000 |
| Fax Number | 7066243001 |
| Sole Proprietor | Y |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1255408993 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2021-12-08 |
Provider Mailing Address Detail
| Address | 365 S Industrial Blvd |
|---|---|
| City | Calhoun |
| State | Georgia (GA) |
| Post Code | 307013075 |
| Phone Number | 7066243000 |
| Fax Number | 7066243001 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1642 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00751308F | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dorothy Mia Gordon by the Centers for Medicare & Medicaid Services?
The Dorothy Mia Gordon has been issued the NPI (National Provider Identifier) 1255408993, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dorothy Mia Gordon's physical address?
The Dorothy Mia Gordon is physically located at 365 S Industrial Blvd, in the city of Calhoun, GA, with the postal code 307013075.
What is Dorothy Mia Gordon's area of expertise and its corresponding taxonomy classification?
The Dorothy Mia Gordon's field of specialization is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1255408993 to Dorothy Mia Gordon?
The Centers for Medicare & Medicaid Services assigned the 1255408993 to Dorothy Mia Gordon on 2006-11-29.
As of what date were the details pertaining to Dorothy Mia Gordon last refreshed?
The information related to the Dorothy Mia Gordon, including its address, specialty, and other relevant details, was last updated on 2021-12-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY