Azar, Gordon Jerome

Azar, Gordon Jerome is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 150 , Canton GA 30115-8018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Azar, Gordon Jerome can be contacted via phone (470) 639-6250.

Contact Information

Primary practice address
460 Northside Cherokee Blvd Ste 150 Canton GA 30115-8018
Phone: (470) 639-6250
Fax: (770) 345-0712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31380 Georgia

Profile Details

NPI number 1144210642
LBN Legal business name Azar, Gordon Jerome
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 16th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144210642 NPPES
Georgia MEDICAID 00433815C

Popular Providers