MISS AMBER LATRICE GORDON NPI 1295321867

NPI Information

NPI: 1295321867
Provider Name: MISS AMBER LATRICE GORDON
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
5645 COBBLESTONE CREEK PL
MABLETON, GA
ZIP 30126
Phone: (404) 273-6773
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MISS Amber Latrice Gordon is a nutrition and education nutritionist in Mableton, GA. MISS Amber Latrice Gordon NPI is 1295321867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5645 COBBLESTONE CREEK PL
MABLETON, GA
ZIP 30126-667
Phone: (404) 273-6773

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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