Julian Benjamin Gordon (NPI# 1215167416, PAC ID# 3375774805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1215167416 |
| PAC ID by PECOS | 3375774805 |
| Professional Enrollment ID | I20140327000361 |
| Full Name | Julian Benjamin Gordon |
| Organization Legal Name | AVATAR INDUSTRIES |
| Address |
4370 Georgetown Sq Atlanta GA 30338-6205 |
| Phone Number | 7704574677 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1996 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 8921156175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110198 | WELLSTAR NORTH FULTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4370 Georgetown Sq, Atlanta, GA 30338-6205 | 7704574677 | AVATAR INDUSTRIES |
| Organization Legal Name | AVATAR INDUSTRIES |
| Physicians | 1 |
| Street Address |
4370 GEORGETOWN SQ |
| City | ATLANTA |
| State | GA |
| Zip | 30338-6205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Spell | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1552 Summerset Dr, Dunwoody, GA 30338-2810 |
| Michael L Cobb | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 1552 Summerset Dr, Atlanta, GA 30338-2810 |
| Robert Jeremy Kirschner | Physical Therapy | Phoenix Rehabilitation and Health Services of Georgia LLC | 2458 Jett Ferry Rd, Suite 230, Dunwoody, GA 30338-3060 |
| Bradley J Anchors | Chiropractic | 2498 Jett Ferry Rd, Suite 100, Dunwoody, GA 30338-3062 | |
| Jacob W Wilson | Chiropractic | 2494 Jett Ferry Rd, Suite 103, Dunwoody, GA 30338-3090 | |
| James J Kinahan | Internal Medicine | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | |
| Etienne J Rodriguez | Family Practice | Dunwoody Village Clinic, PC | 5471 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 |
| Albert F Johary | Internal Medicine | 1320 Ctr Dr, Suite 100, Dunwoody, GA 30338-4130 | |
| Eileen C Lau | Physician Assistant | Albert F.johary Md, PC | 1320 Ctr Dr, Suite 100, Dunwoody, GA 30338-4130 |
| Nicholas Roy Frady | Physical Therapy | Independent Physical Therapy of Ga, LLC | 5500 Chamblee Dunwoody Rd, Atlanta, GA 30338-4162 |
| Find all physicians in zip 30338 | |||
| City | ATLANTA |
| Zip Code | 30338 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | ATLANTA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Julian Benjamin Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.