Individual
DR. ANTWAN L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
838 OLD GEORGE WASHINGTON HWY N, SUITE E, CHESAPEAKE, VA 23323-2209
(757) 485-5666
(757) 485-8666
Mailing address
838 OLD GEORGE WASHINGTON HWY N, SUITE E, CHESAPEAKE, VA 23323-2209
(757) 485-5666
(757) 485-8666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556244
VA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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