Individual
JORDAN KNOEFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2709 MEREDYTH DR, ALBANY, GA 31707-0222
(229) 312-5000
Mailing address
339 WILLOW LAKE DR, LEESBURG, GA 31763-5417
(706) 302-6648
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
76576
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
09/17/2018
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