Organization
SUBURBAN HOME VISITS MHT, LLC
Active
Organization
SUBURBAN HOME VISITS MHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY JORDAN MD (VP OF PAYOR OPPERATIONS)
(469) 307-5810
Entity
Organization
Contact information
Practice address
2000 RIVEREDGE PKWY, SUITE 104, ATLANTA, GA 30328-4694
(469) 307-5810
(877) 489-3949
Mailing address
1575 HERITAGE DR, SUITE 205, MCKINNEY, TX 75069-3288
(469) 307-5810
(877) 489-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35763
GA
Other
Enumeration date
10/01/2015
Last updated
04/25/2016
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