NPI 1710234646

Rondine O Gordon, RN

Practitioner Nursing Home Administrator Stone Mountain, GA

Practice location

Address: 5503 Mountain View Pass, Stone Mountain, GA 30087-6020
Phone: (770) 879-7382

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence RN172806 (GA)

Other Nursing Home Administrator providers in Georgia →

Registry record

NPI: 1710234646
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2012
Record last updated: 9 Aug 2012

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.