Individual
MR. JORDAN TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
300 MEDICAL CENTER DR, SUITE 200 - ETOWAH PULMONOLOGY ASSOCIATES, GADSDEN, AL 35903-1157
(256) 494-4646
Mailing address
300 MEDICAL CENTER DR, SUITE 200 - ETOWAH PULMONOLOGY ASSOCIATES, GADSDEN, AL 35903-1157
(256) 494-4646
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-135323
AL
Other
Enumeration date
02/03/2017
Last updated
10/01/2020
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