Gordon, Stephen
Gordon, Stephen is an sole proprietor health care provider with primary practice located at 49 Islanders Retreat , Savannah GA 31411-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Gordon, Stephen can be contacted via phone (912) 656-1619.Contact Information
Primary practice address
49 Islanders Retreat
Savannah GA 31411-2941
Phone: (912) 656-1619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 013185 | Georgia |
Profile Details
| NPI number | 1992824361 |
|---|---|
| LBN Legal business name | Gordon, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992824361 | NPPES |
| Georgia | Other | 013185 | LICENSE |
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