Individual
DR. TERRY T JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HWY 39 NORTH, MERIDIAN, MS 39301
(601) 482-2400
(601) 485-2310
Mailing address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 482-2400
(601) 485-2310
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14095
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016304
—
MS
Enumeration date
10/11/2006
Last updated
07/08/2007
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