DR. Charles Marvin Gordon JR., M.D.

NPI #1275825135 in Daphne, Alabama

Provider Information

NPI Number: 1275825135
Entity Type: Individual
Name: DR. Charles Marvin Gordon JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Credential: M.D.
Enumeration Date: May 11, 2011
Last Updated: Aug 1, 2018

Practice Location

Address: 1505 DAPHNE AVE
City: Daphne
State: Alabama
ZIP Code: 36526
Phone: (251) 625-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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