Individual
DR. BRITON PENN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 RED BUD RD NE STE 200, CALHOUN, GA 30701-6010
(706) 602-8300
(706) 625-6955
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703-7013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766059410E
—
GA
Enumeration date
10/19/2005
Last updated
01/02/2020
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