Individual
DR. QUINCY JEROME JORDAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 SUMTER ST, MONTEZUMA, GA 31063
(478) 472-3100
(478) 472-3248
Mailing address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-3248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033367
GA
Other
Enumeration date
11/15/2006
Last updated
05/16/2018
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