Andre, Philip Gordon
Andre, Philip Gordon is an individual health care provider with primary practice located at 11180 Hwy 51 N. Ste 3, Atoka TN 38004. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Andre, Philip Gordon can be contacted via phone (901) 837-9910.Contact Information
Primary practice address
11180 Hwy 51 N. Ste 3
Atoka TN 38004
Phone: (901) 837-9910
Fax: (901) 837-9914
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 39028 | Tennessee |
Profile Details
NPI number | 1619972338 |
---|---|
LBN Legal business name | Andre, Philip Gordon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1619972338 | NPPES |
Tennessee | MEDICAID | 3717404 |
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