Gordon, Shelly

Gordon, Shelly is an sole proprietor health care provider with primary practice located at 155 Overlook Dr , Covington GA 30016-8817. She recently has only one registered license in Hospitals / Religious Nonmedical Health Care Institution, which is considered as her primary health care specialty. Gordon, Shelly can be contacted via phone (678) 702-3519.

Contact Information

Primary practice address
155 Overlook Dr Covington GA 30016-8817
Phone: (678) 702-3519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Religious Nonmedical Health Care Institution 282J00000X

Profile Details

NPI number 1043880354
LBN Legal business name Gordon, Shelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2021
Last updated Jun 29th, 2021 - about 4 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

Popular Providers