MICHAEL C GORDON MD LLC NPI 1881900330

NPI Information

NPI: 1881900330
Provider Name: MICHAEL C GORDON MD LLC

Doing Business As: ATLANTA CENTER FOR PAIN & ADDICTION MANAGEMENT

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4015 S COBB DR SE STE 275
SMYRNA, GA
ZIP 30080
Phone: (770) 801-5811
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MICHAEL C GORDON MD LLC is an addiction (substance use disorder) counselor in Smyrna, GA. MICHAEL C GORDON MD LLC NPI is 1881900330. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atlanta Center For Pain & Addiction Management.

The provider's business location address is:

4015 S COBB DR SE STE 275
SMYRNA, GA
ZIP 30080-357
Phone: (770) 801-5811

The provider's authorized official is Michael C Gordon .
The authorized official title is Medical Director and has the following contact phone number (770) 801-5811.

The enumeration date for this NPI number is 8/22/2010 and was last updated on 8/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	026534	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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