Antwanette Antwanette Gordon
Antwanette Antwanette Gordon is a Student in an Organized Health Care Education/Training Program in McDonough, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
429 Concord CirMcDonough, GA 30253-8001
Phone: (470) 269-0878
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1629646104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2021 |
| Last updated in NPPES | June 11, 2021 |
| Certification date | June 11, 2021 |
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