Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS AMBER LATRICE GORDON
Active Sole ProprietorNutrition, Education · MABLETON, GA
Registration Details
- NPI Number
- 1295321867
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2020 (5.3877416605617 yrs)
- Last Updated
- Dec 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5645 COBBLESTONE CREEK PLMABLETON, GA, 301262667Browse GA providers · Browse ZIP 30126
- Phone
- 4042736773
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.