Organization
MADISON FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C JORDAN M.D. (OWNER)
(615) 868-6464
Entity
Organization
Contact information
Practice address
1035 E OLD HICKORY BLVD, MADISON, TN 37115-4160
(615) 868-6464
(615) 868-7986
Mailing address
1035 E OLD HICKORY BLVD, MADISON, TN 37115-4160
(615) 868-6464
(615) 868-7986
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MC023806
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706385
—
TN
Enumeration date
05/30/2007
Last updated
07/12/2010
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