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1104125707
RYAN WESLEY GORDON
KINGSPORT, TN
NPI
1104125707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 50912)
Enumeration Date
2011-03-22
Last Update Date
2017-04-12
Business Address
Dr. RYAN WESLEY GORDON M.D.
135 W RAVINE RD STE 5-B
KINGSPORT, TN 37660-3847
Phone number: 423-224-3460
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Mailing Address
Dr. RYAN WESLEY GORDON M.D.
PO BOX 535744
ATLANTA, GA 30353-5510
Phone number: 844-294-5114
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