IndividualActive
Jamal Gordon
NPI 1669238069 · Health & Wellness Coach · Norcross, GA
Provider details
- NPI number
- 1669238069
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 268561 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
3204 Sunrise Village Ln Apt B
Norcross, GA 30093-5400
Phone: (407) 427-4627
Approximate (ZIP-level) locationGet directions
Mailing address
3204 Sunrise Village Ln Apt B
Norcross, GA 30093-5400
Registry dates
- Enumerated
- 2024-02-23
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.