Gordon, Brenda

Gordon, Brenda is an sole proprietor health care provider with primary practice located at 3983 Lavista Rd Suite 164, Tucker GA 30084-5153. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Gordon, Brenda can be contacted via phone (404) 861-0807.

Contact Information

Primary practice address
3983 Lavista Rd Suite 164 Tucker GA 30084-5153
Phone: (404) 861-0807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 059684695 Georgia

Profile Details

NPI number 1396132320
LBN Legal business name Gordon, Brenda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2015
Last updated Apr 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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