Individual
DR. BEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
512 PARK CREEK CT, GAINESVILLE, GA 30504-4123
(706) 498-1397
Mailing address
512 PARK CREEK CT, GAINESVILLE, GA 30504-4123
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT009376
GA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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