Individual
DR. JORDAN CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-4404
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5525
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2014
Last updated
10/17/2019
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