Individual
JORDAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 OGLETHORPE AVE STE C7, ATHENS, GA 30606-2221
(706) 425-9445
(706) 425-0820
Mailing address
700 OGLETHORPE AVE STE C7, ATHENS, GA 30606-2221
(706) 425-9445
(706) 425-0820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021-02070
NC
207Q00000X
Family Medicine Physician
Primary
99863
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
12/17/2025
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