Michael C. Gordon, Md, Llc

LBN: Michael C. Gordon, Md, Llc
Michael C. Gordon, Md, Llc is an health care organization with primary practice located at 4015 S Cobb Dr Se Suite 220, Smyrna GA 30080-6303. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Michael C. Gordon, Md, Llc can be contacted via phone (770) 801-0980, or through Gordon, Michael C via phone (770) 801-0980.

Contact Information

Primary practice address
4015 S Cobb Dr Se Suite 220 Smyrna GA 30080-6303
Phone: (770) 801-0980
Fax: (770) 801-9039
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Michael C Doctor of Medicine (MD)
Phone: (770) 801-0980

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 026534 Georgia

Profile Details

NPI number 1598957011
LBN Legal business name Michael C. Gordon, Md, Llc
DBA Doing business as
Authorized official Gordon, Michael C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598957011 NPPES
Georgia Other 461679 BLUE CROSS BLUE SHIELD

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