Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERSON TAYLOR GORDON, M.D.
ActiveJEFFERSON TAYLOR GORDON, M.D. is a Family Medicine healthcare provider located in CARROLLTON, Georgia. NPI 1336167816 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CARROLLTON, GA
Registration Details
- NPI Number
- 1336167816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.076391358909 yrs)
- Last Updated
- Jan 4, 2012
- License
-
033338 (GA)
Practice Information
- Address
-
100 PROFESSIONAL PLSUITE 202CARROLLTON, GA, 301173802Browse GA providers · Browse ZIP 30117
- Phone
- 7708326861
- Fax
- 7708329432
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH JELLICORSE | M.D. | 1932190535 |
| DR. HERMOGENES PAGSISIHAN | M.D. | 1184615759 |
| DR. KENNETH L BOSS | MD | 1104891472 |
| MR. JEFFERY K SEWELL | MD | 1598705071 |
| MICHAEL ANTHONY POSS | MD | 1003834557 |
| GREGORY BENJAMIN FLOYD | M.D. | 1326066895 |
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.