Antwanette Antwanette Gordon is a student in an organized health care education training program in Mcdonough, GA. The provider is 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. Antwanette Antwanette Gordon NPI is 1629646104. 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:
429 CONCORD CIR
MCDONOUGH, GA
ZIP 30253-001
Phone: (470) 269-0878
The enumeration date for this NPI number is 6/11/2021 and was last updated on 6/11/2021.