Individual
JORDAN LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
22 IBM RD. SUITE 210, PARK SLOPE ANESTHESIA ASSOCIATES, PC, POUGHKEEPSIE, NY 12601
(866) 868-8416
(845) 790-2612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
317232-01
NY
207L00000X
Anesthesiology Physician
Primary
97341
GA
Other
Enumeration date
04/02/2015
Last updated
12/28/2023
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