RONDINE O GORDON RN NPI 1710234646

NPI Information

NPI: 1710234646
Provider Name: RONDINE O GORDON, RN
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Individual
Address:
5503 MOUNTAIN VIEW PASS
STONE MOUNTAIN, GA
ZIP 30087
Phone: (770) 879-7382
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Rondine O Gordon, RN is a nursing home administrator in Stone Mountain, GA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Rondine O Gordon, RN NPI is 1710234646. 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:

5503 MOUNTAIN VIEW PASS
STONE MOUNTAIN, GA
ZIP 30087-020
Phone: (770) 879-7382

The enumeration date for this NPI number is 8/9/2012 and was last updated on 8/9/2012.

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	376G00000X	Nursing Home Administrator		RN172806	GEORGIA	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: 4/28/2024

NPI Synchronization or Removal

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