Individual
SUSAN STEWART JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2551
(770) 460-4747
(678) 673-5102
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
066169
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
066169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045509
STATE LICENSE
CT
01
—
066169
STATE LICENSE
GA
01
—
MD432428
PA STATE LICENSE
PA
Enumeration date
06/19/2007
Last updated
05/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us