Individual
JORDAN VAN SWEARINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 227-2453
Mailing address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 227-2453
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2021-00236
NC
207L00000X
Anesthesiology Physician
Primary
65432
TN
390200000X
Student in an Organized Health Care Education/Training Program
238546
NC
Other
Enumeration date
05/01/2018
Last updated
05/26/2022
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