NPI 1043880354

Shelly Gordon

Practitioner Religious Nonmedical Health Care Institution Covington, GA

Practice location

Address: 155 Overlook Dr, Covington, GA 30016-8817
Phone: (678) 702-3519

Registered specialties

Religious Nonmedical Health Care Institution Primary

Hospitals Taxonomy 282J00000X

Other Religious Nonmedical Health Care Institution providers in Georgia →

Registry record

NPI: 1043880354
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2021
Record last updated: 29 Jun 2021

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.