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Individual

MS. MARY CATHERINE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MN, CPNP

Contact information

Practice address
5455 MERIDIAN MARK RD., STE. 400, ATLANTA, GA 30342
(404) 785-3514
Mailing address
806 SHERWOOD RD NE, ATLANTA, GA 30324-5231
(404) 872-7550

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RNO44779 NP
GA

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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