Michael A Gordon
Medical Specialty
Professional ID
- NPI: 1902885908
- PECOS ID: 5294768834
- Enrollment ID: I20100303000923
- Credential(MD, DO, DPM):
- Medical School: Tufts University School Of Medicine
- Medical School Graduation Year: 1976
Hospital Service
- Hospital CCN1: 340020
- Business Name (LBN)1: Central Carolina Hospital
Medical Practices
- Organization Name: Dlp Central Carolina Medical Group Llc
- Group Practice ID assigned by PECOS: 3577840420
- Number of Group Practice member: 23
Location
Medical Practices
- Organization Name: Dlp Central Carolina Physician Practices Llc
- Group Practice ID assigned by PECOS: 6709180656
- Number of Group Practice member: 78
Location
- Address1: 117 Dennis Dr
- Address2:
- City: Sanford
- State: North Carolina
- Zip Code: 27330
- Phone Number: (919)774-2220
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):