LANDIS COFFEE GORDON

TIFTON, GA
NPI1457329641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003887)
Enumeration Date2006-03-14
Last Update Date2023-10-10
Business Address
LANDIS COFFEE GORDON PA-C
2227 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-386-5222
Mailing Address
LANDIS COFFEE GORDON PA-C
PO BOX 2650
TIFTON, GA 31793-2650
Phone number: 229-353-3422
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