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Individual
DR. JORDAN M HACKWORTH
Active
Individual
DR. JORDAN M HACKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101247514
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101247514
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101247514
VA
Other
Enumeration date
05/01/2007
Last updated
09/29/2026
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