Individual
JORDAN A MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WINN ARMY COMMUNITY HOSPITAL, 1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6679
Mailing address
WINN ARMY COMMUNITY HOSPITAL, 1061 HARMON AVE, FORT STEWART, GA 31314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2020018330
MO
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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