Ariel Gordon

Physician Assistant · Clinton, MS

Individual Active NPI

NPI number 1811765092

Practice location

200 Capitol St Unit 1
Clinton, MS 39056-4026
Phone
(601) 925-3000

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NPI record

NPI
1811765092
Entity type
Individual (Type 1)
Enumeration date
December 18, 2023
Last updated
December 18, 2023
Certified
December 17, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

312 P St NW
Washington, DC 20001-1930

About Ariel Gordon

Ariel Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 200 Capitol St Unit 1, Clinton, MS 39056-4026. The NPI number 1811765092 was assigned on December 18, 2023 and the record was last updated on December 18, 2023.

Frequently asked questions

What is the NPI number of Ariel Gordon?

The NPI number is 1811765092.

What is the phone number of Ariel Gordon?

The phone number listed for the practice location is (601) 925-3000.

Where is Ariel Gordon located?

200 Capitol St Unit 1, Clinton, MS 39056-4026.

What is the taxonomy code for Ariel Gordon?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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