Individual
JORDAN AHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3226 HAMPTON AVE STE A, BRUNSWICK, GA 31520-4226
(912) 264-0760
Mailing address
3226 HAMPTON AVE STE A, BRUNSWICK, GA 31520-4226
(912) 264-0760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
RN243116
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN243116
PROFESSINAL LICENSE
—
Enumeration date
08/29/2018
Last updated
08/29/2018
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