Individual
DR. BRIAN K. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 WHEATLEY DR, AMERICUS, GA 31709-3788
(229) 924-6011
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
053561
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028582514G
—
GA
Enumeration date
06/12/2006
Last updated
05/11/2009
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