IndividualActive
Shelly Gordon
NPI 1043880354 · Religious Nonmedical Health Care Institution · Covington, GA
Provider details
- NPI number
- 1043880354
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical Health Care InstitutionHospitals
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Hospitals
Practice location
155 Overlook Dr
Covington, GA 30016-8817
Phone: (678) 702-3519
Approximate (ZIP-level) locationGet directions
Mailing address
155 Overlook Dr
Covington, GA 30016-8817
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.