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1205322302
JOSHUA GORDON
FAYETTEVILLE, GA
NPI
1205322302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 62058)
Enumeration Date
2018-07-02
Last Update Date
2018-12-26
Business Address
JOSHUA GORDON
1255 GA-54
FAYETTEVILLE, GA 30214
Phone number: 770-719-7000
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Mailing Address
JOSHUA GORDON
3980 RIVERSIDE DR, ROOM 201
MACON, GA 31210
Phone number: 805-300-2160
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