Individual
GARY ALAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
597 S ENOTA DR NE, GAINESVILLE, GA 30501-2545
(770) 219-7777
(770) 219-7778
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
59062
TN
207Q00000X
Family Medicine Physician
Primary
82416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594792204A
—
GA
Enumeration date
04/16/2007
Last updated
06/06/2025
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