Quincy Jerome Jordan SR. MD

NPI 1093888687 - Family Medicine - 207Q00000X

NPI Details
NPI 1093888687
Gender Male
Enumeration Date 11/15/2006
Last Updated 09/25/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
509 SUMTER ST
MONTEZUMA GA, 31063-1733, US
Phone (478) 472-3100
Fax (478) 472-3248
Business Location
509 SUMTER ST
MONTEZUMA GA, 31063-1733, US
Phone (478) 472-3100
Fax (478) 472-3248
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 033367
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According to our database, Dr. Quincy Jerome Jordan SR. MD NPI is 1093888687, taxonomy code is 207Q00000X and license number is 033367, license state is located at Georgia. Quincy Jerome Jordan SR. MD physically located at 509 Sumter St, Montezuma GA, 31063-1733. NPI Number Quincy Jerome Jordan SR. MD has the Individual type.

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1093888687 NPI number is provided on an as is basis without warranty of any kind. 1093888687 is maintained by the National Plan & Provider Enumeration System. The contents of Quincy Jerome Jordan SR. MD are for informational purposes only.