Individual
DR. JOHN C JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 E OLD HICKORY BLVD, MADISON, TN 37115
(615) 868-6464
(615) 868-7986
Mailing address
1035 E OLD HICKORY BLVD, MADISON, TN 37115
(615) 868-6464
(615) 868-7986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD023806
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069230
—
TN
Enumeration date
06/09/2006
Last updated
12/15/2009
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