IndividualActive
Anthony Gordon
NPI 1154713063 · Physician Assistant · Athens, TN
Provider details
- NPI number
- 1154713063
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA60720371 (WA)
Practice location
711 Cook Dr
Athens, TN 37303-3486
Phone: (423) 744-7585
Fax: (423) 744-7075
Mailing address
711 Cook Dr Ste 100
Athens, TN 37303-3499
Registry dates
- Enumerated
- 2015-03-02
- Last updated
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.