JERRY WAYNE GORDON

BIRMINGHAM, AL
NPI1477988632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AL  1-141671)
Enumeration Date2013-09-06
Last Update Date2013-09-06
Business Address
Mr. JERRY WAYNE GORDON RN
2868 ACTON ROAD
BIRMINGHAM, AL 35243-2502
Phone number: 205-968-8360
Mailing Address
Mr. JERRY WAYNE GORDON RN
2868 ACTON ROAD
BIRMINGHAM, AL 35243-2502
Phone number: 205-968-8360