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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