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1871549204
KENNETH D GORDON
LAGRANGE, GA
NPI
1871549204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 037816)
Enumeration Date
2006-05-26
Last Update Date
2024-04-15
Business Address
KENNETH D GORDON MD
1602 VERNON RD SUITE 400
LAGRANGE, GA 30240-4100
Phone number: 706-882-9341
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Mailing Address
KENNETH D GORDON MD
1602 VERNON RD SUITE 400
LAGRANGE, GA 30240-4100
Phone number: 706-882-9341
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