Individual
BENJAMIN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
840 STEVENS CREEK RD, AUGUSTA, GA 30907-9251
(706) 724-9607
(706) 722-7454
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4952
GA
Other
Enumeration date
05/29/2007
Last updated
10/29/2018
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