Doctor Name: | DR. JONATHAN P. GORDON |
NPI Number: | 1043232879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 42009 |
Business Practice Address: | 3024 Business Park Cir Goodlettsville, TN - 370723132 |
Business Phone Number: | 6158516033 |
Business Fax Number: | 6158512018 |
Mailing Address: | 3024 Business Park Cir, GOODLETTSVILLE |
State: | TN |
Postal Code: | 370723132 |
Phone Number: | 6158516033 |
Fax Number: | 6158512018 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | 42009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |