Individual
DR. DARRELL W JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1006 GREENFIELD DR, TIFTON, GA 31794-3794
(229) 382-8822
(229) 387-0377
Mailing address
PO BOX 1189, TIFTON, GA 31793-1189
(229) 382-8822
(229) 387-0377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000343197C
—
GA
Enumeration date
08/03/2006
Last updated
08/22/2013
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