Stephen Marion Jordan MD

NPI 1770698367 - Internal Medicine - 207R00000X

NPI Details
NPI 1770698367
Gender Male
Enumeration Date 08/21/2006
Last Updated 09/23/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
356 NORTHSIDE DRIVE E
STATESBORO GA, 30458, US
Phone (912) 764-5463
Fax (912) 764-3203
Business Location
PO BOX 989
STATESBORO GA, 30459, US
Phone (912) 764-5463
Fax (912) 764-3203
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 013200
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According to our database, Stephen Marion Jordan MD NPI is 1770698367, taxonomy code is 207R00000X and license number is 013200, license state is located at Georgia. Stephen Marion Jordan MD physically located at 356 Northside Drive E, Statesboro GA, 30458. NPI Number Stephen Marion Jordan MD has the Individual type.

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1770698367 NPI number is provided on an as is basis without warranty of any kind. 1770698367 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Marion Jordan MD are for informational purposes only.