Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE H GORDON, M.D.
DeactivatedSTEPHANIE H GORDON, M.D. is a Gynecology healthcare provider located in CONYERS, Georgia. NPI 1407849722 is deactivated in the NPPES registry. Verify at CMS.
Gynecology · CONYERS, GA
This NPI has been deactivated.
The record was deactivated on March 27, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1407849722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2005 (0.59178082191781 yrs)
- Last Updated
- Aug 6, 2012
- Deactivated
- Mar 27, 2006
- License
-
049382 (GA)
Practice Information
- Address
-
2750 OWENS RD SWSUITE ACONYERS, GA, 300943991Browse GA providers · Browse ZIP 30094
- Phone
- 6784134644
- Fax
- 6784134624
- Primary Specialty
-
Gynecology
207VG0400X
Other Gynecology Providers in CONYERS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. SHIRAZ HABIB KASSAM | M.D. | 1265401020 |
| DR. THOMAS LEWIS LYONS | MD | 1205943743 |
| DR. HOLLY ANNE IMLACH | M.D. | 1639216450 |
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.