Gordon, Melissa

Gordon, Melissa is an individual health care provider with primary practice located at 748 Old Norcross Rd Ste 100, Lawrenceville GA 30046-3393. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gordon, Melissa can be contacted via phone (770) 339-1500.

Contact Information

Primary practice address
748 Old Norcross Rd Ste 100 Lawrenceville GA 30046-3393
Phone: (770) 339-1500
Fax: (770) 995-6172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD003770 Georgia

Profile Details

NPI number 1740451806
LBN Legal business name Gordon, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Feb 1st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740451806 NPPES
Georgia MEDICAID 822770956D

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