Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenda Gordon

Individual provider Prosthetics Case Management · NPI 1396132320

Brenda Gordon is a Prosthetics Case Management in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015

Practice location Address checks out

3983 Lavista Rd Ste 164
Tucker, GA 30084-5153
Phone: (404) 861-0807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 059684695 (GA)

Record details

NPI number1396132320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2015
Last updated in NPPESApril 16, 2015
Mailing address2109 Rutherford Glen Cir, Atlanta, GA 30340-3878

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