Individual
BEVERLY F JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E BRUNSON ST, SUITE 200, ENTERPRISE, AL 36330-2526
(334) 393-3686
(334) 347-4906
Mailing address
101 E BRUNSON ST, SUITE 200, ENTERPRISE, AL 36330-2526
(334) 393-3686
(334) 347-4906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00025496
AL
Other
Enumeration date
04/18/2006
Last updated
11/20/2009
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