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1760877666
CHANEL GORDON
ATLANTA, GA
NPI
1760877666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 7898)
Enumeration Date
2015-03-30
Last Update Date
2024-06-04
Business Address
CHANEL GORDON PA-C
6 CONCOURSE PKWY STE 850
ATLANTA, GA 30328-8189
Phone number: 470-660-4247
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Mailing Address
CHANEL GORDON PA-C
6 CONCOURSE PKWY STE 850
ATLANTA, GA 30328-8189
Phone number: 404-428-0430
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