CHANEL GORDON

ATLANTA, GA
NPI1760877666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  7898)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: GA  7898)
Enumeration Date2015-03-30
Last Update Date2025-09-01
Business Address
CHANEL GORDON PA-C
6690 ROSWELL RD STE 510
ATLANTA, GA 30328-3161
Phone number: 678-884-0090
Mailing Address
CHANEL GORDON PA-C
6690 ROSWELL RD STE 510
ATLANTA, GA 30328-3161
Phone number: 404-428-0430