NPI 1144660283

Anita S. Gordon

Organisation Point of Service Atlanta, GA

Practice location

Address: 2814 Buford Hwy NE, Atlanta, GA 30329-2103
Phone: (404) 486-7661

Authorised official

Name: Felecia Bryant
Title: Ofc Manager
Phone: (404) 486-7661

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence DN009248 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1144660283
Entity type: Organization
NPI issued: 3 Jul 2013
Record last updated: 3 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.