IndividualActive
Gary Gordon, D.O.
NPI 1124010640 · Geriatric Medicine (Family Medicine) Physician · Meridian, MS
Provider details
- NPI number
- 1124010640
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 07448 (MS)
Practice location
1800 12th St
Meridian, MS 39301-4158
Phone: (601) 703-9265
Fax: (601) 703-9401
Mailing address
1800 12th St
Meridian, MS 39301-4158
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2013-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.