| Ms Qiana L Gordon, LMT | |
|
4376 Northwind Dr, Ellenwood, GA 30294-2474 | |
| (678) 886-2203 | |
| Not Available |
| Full Name | Ms Qiana L Gordon |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 4376 Northwind Dr, Ellenwood, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770865420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT007007 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Qiana L Gordon, LMT 4457 Covington Hwy, Decatur, GA 30035-1214 Ph: (678) 886-2203 | Ms Qiana L Gordon, LMT 4376 Northwind Dr, Ellenwood, GA 30294-2474 Ph: (678) 886-2203 |
Vonda S Hendrickson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Belmont Farms Dr, Ellenwood, GA 30294 Phone: 404-492-2248 Fax: 770-507-6644 | |
Christal Love, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5240 Katherine Village Dr, Ellenwood, GA 30294 Phone: 770-282-7081 | |
Mr. Derrick Andre Leach, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5685 Washakie Pt, Ellenwood, GA 30294 Phone: 404-396-3850 |