Search › Georgia › 225700000X
Oscar Gordon
NPI 1497536387 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2457 Dakota Trl Sw
Lilburn, GA 30047 - Phone
- (678) 531-1232
Additional practice sites
- 5370 Stone Mountain Hwy, Stone Mountain, GA
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 171400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia