Shelly Gordon
Shelly Gordon is a Religious Nonmedical Health Care Institution in Covington, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
155 Overlook DrCovington, GA 30016-8817
Phone: (678) 702-3519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Religious Nonmedical Health Care Institution (primary) | Taxonomy 282J00000X |
|---|
Record details
| NPI number | 1043880354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2021 |
| Last updated in NPPES | June 29, 2021 |
| Certification date | June 29, 2021 |
| Mailing address | 155 Overlook Dr, Covington, GA 30016-8817 |