IndividualActive
Ariel Gordon
NPI 1811765092 · Physician Assistant · Clinton, MS
Provider details
- NPI number
- 1811765092
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Capitol St Unit 1
Clinton, MS 39056-4026
Phone: (601) 925-3000
Approximate (ZIP-level) locationGet directions
Mailing address
312 P St Nw
Washington, DC 20001-1930
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2023-12-18
- Certified
- 2023-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.