Landis Coffee Gordon in Tifton - Physician Assistant
Landis Coffee Gordon - NPI 1457329641
Landis Coffee Gordon is a Physician Assistant in Tifton, Georgia. Landis Coffee Gordon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Landis Coffee Gordon is 1457329641. The last update date is 2023-10-10.
Landis Coffee Gordon's current location address is 2227 Us Highway 41 N, Tifton, Georgia. You can contact this provider via phone number 2293865222. The mailing address for Landis Coffee Gordon is 2227 Us Highway 41 N, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Landis Coffee Gordon |
|---|---|
| Address | 2227 Us Highway 41 N, Tifton, Georgia |
| Phone Number | 2293865222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457329641 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2023-10-10 |
Provider Mailing Address Detail
| Address | 2227 Us Highway 41 N |
|---|---|
| City | Tifton |
| State | Georgia (GA) |
| Post Code | 317942749 |
| Phone Number | 2293865222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3887 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100002324A | GA | -- | |
| 291289900 | FL | -- |
Post Comment/ Review Below
What is Landis Coffee Gordon's area of expertise and its corresponding taxonomy classification?
The Landis Coffee Gordon's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Landis Coffee Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Landis Coffee Gordon is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Landis Coffee Gordon receive its 1457329641 assignment?
The Landis Coffee Gordon was assigned its 1457329641 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Landis Coffee Gordon last refreshed?
The information related to the Landis Coffee Gordon, including its address, specialty, and other relevant details, was last updated on 2023-10-10.
When was the information regarding Landis Coffee Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Landis Coffee Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-10.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH