Individual provider · Type 1 NPI

Destiny Gordon

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1417788902 Active

Practice location

830 Westview Dr SW
Atlanta, GA 30314-3773

Call (404) 752-1500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417788902

Destiny Gordon's National Provider Identifier is 1417788902, issued on Aug 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 12, 2024.