Anthony Roy Gordon
Foot Surgery
230 Cedar Pointe Dr
Athens
, Georgia 30605-3339
Anthony Roy Gordon
Foot Surgery
230 Cedar Pointe Dr
Athens
, Georgia 30605-3339
(949) 955-7016
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Anthony Roy Gordon
- 1110 Club Estates Ct
- Statham, GA
- Zip : 30666-2659
- Fax : (949) 955-7016
- Phone : (706) 208-9977
Second Address
- Anthony Roy Gordon
- 230 Cedar Pointe Dr
- Athens, GA
- Zip : 30605-3339
- Fax : (949) 955-7016
- Phone : (706) 208-9977
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 00827 | GA |
National Provider Identifier
| NPI | 1386602464 |
|---|---|
| Provider Name | Anthony Roy Gordon |
| First Address | Statham, GA 30666-2659 |
| Second Address | Athens, GA 30605-3339 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 24/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00807661A | (05) | GA |
| U57459 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.