Gordon, Demetria Y.

Gordon, Demetria Y. is an individual health care provider with primary practice located at 7515 Right Flank Road , Mechanicsville VA 23116-3818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gordon, Demetria Y. can be contacted via phone (804) 288-4084.

Contact Information

Primary practice address
7515 Right Flank Road Mechanicsville VA 23116-3818
Phone: (804) 288-4084
Fax: (804) 559-2046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2007-00174 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101240229 Virginia

Profile Details

NPI number 1023177326
LBN Legal business name Gordon, Demetria Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Apr 25th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023177326 NPPES
Virginia MEDICAID 1023177326

Popular Providers