Gordon, Alena

Gordon, Alena is an individual health care provider with primary practice located at 6330 Primrose Hill Ct , Norcross GA 30092-4544. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Gordon, Alena can be contacted via phone (404) 365-0160.

Contact Information

Primary practice address
6330 Primrose Hill Ct Norcross GA 30092-4544
Phone: (404) 365-0160
Fax: (770) 903-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001086 Georgia
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD001086 Georgia
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD001086 Georgia

Profile Details

NPI number 1679598627
LBN Legal business name Gordon, Alena
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 5th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679598627 NPPES
Georgia MEDICAID 150488645D
Georgia Other 1609816123

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