Individual
DR. COVIN MCKINLEY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 232-8100
(901) 753-2896
Mailing address
791 WALNUT KNOLL LN, 2ND FL, CORDOVA, TN 38018-8839
(901) 755-7001
(901) 753-2896
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06648
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115759
—
MS
Enumeration date
06/05/2006
Last updated
07/08/2007
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