Gordon, Anthony Roy

Gordon, Anthony Roy is an sole proprietor health care provider with primary practice located at 230 Cedar Pointe Dr , Athens GA 30605-3339. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Gordon, Anthony Roy can be contacted via phone (706) 208-9977.

Contact Information

Primary practice address
230 Cedar Pointe Dr Athens GA 30605-3339
Fax: (949) 955-7016
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00827 Georgia

Profile Details

NPI number 1386602464
LBN Legal business name Gordon, Anthony Roy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Feb 24th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386602464 NPPES
Georgia MEDICAID 00807661A

Popular Providers