Gordon, Laura B

Gordon, Laura B is an individual health care provider with primary practice located at 20 Herrell Rd , Villa Rica GA 30180-5527. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordon, Laura B can be contacted via phone (770) 812-3928.

Contact Information

Primary practice address
20 Herrell Rd Villa Rica GA 30180-5527
Phone: (770) 812-3928
Fax: (770) 812-3989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN238583 Georgia
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN238583 Georgia
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN238583 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN238583 Georgia

Profile Details

NPI number 1841079613
LBN Legal business name Gordon, Laura B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2023
Last updated May 14th, 2024 - about 2 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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