Brenda Gordon

NPI #1396132320 in Tucker, Georgia

Provider Information

NPI Number
1396132320
Entity Type
Individual
Name
Brenda Gordon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Apr 16, 2015
Last Updated
Apr 16, 2015

Practice Location

Address
3983 LAVISTA RD
Address 2
SUITE 164
City
Tucker
State
Georgia
ZIP Code
30084-5153
Phone
(404) 861-0807

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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