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Contact Information

PAMELA GORDON, MBCHB
4040 HOSPITAL WEST DR
AUSTELL, GA30106
 Phone: 770-732-6798
 Fax: 770-732-6732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PAMELA GORDON · (Female)

NPI Number 1811135056
Status Active
Credentials MBCHB
Entity Individual
Enumeration date 01/27/2009
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 069815
  • MI License # 4301091862
Hospital affiliation(s)
  • WELLSTAR KENNESTONE HOSPITAL - (Acute Care)
    677 CHURCH STREET
    MARIETTA, GA 30060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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