Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY GORDON
Active Sole ProprietorSHELLY GORDON is a Religious Nonmedical Health Care Institution healthcare provider located in COVINGTON, Georgia. NPI 1043880354 is currently active in the NPPES registry. Verify at CMS.
Religious Nonmedical Health Care Institution · COVINGTON, GA
Registration Details
- NPI Number
- 1043880354
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2021 (5.1727306304455 yrs)
- Last Updated
- Jun 29, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
155 OVERLOOK DRCOVINGTON, GA, 300168817Browse GA providers · Browse ZIP 30016
- Phone
- 6787023519
- Primary Specialty
-
Religious Nonmedical Health Care Institution
282J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.