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Individual
WILLIAM D JORDAN JR.
Active
Individual
WILLIAM D JORDAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
14678
AL
2086S0129X
Vascular Surgery Physician
Primary
37578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000027366
BLUE CROSS
AL
05
—
000027366
—
AL
01
—
770000637
RAILROAD MEDICARE
AL
01
—
E92967
VIVA
AL
Enumeration date
07/03/2006
Last updated
07/12/2023
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