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Individual

KIMBERLY ELIZABETH JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 LAKE HEARN DR STE 450, ATLANTA, GA 30342-1524
(404) 365-0966
Mailing address
1100 LAKE HEARN DR STE 450, ATLANTA, GA 30342-1524
(404) 365-0966

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105060
GA
207Q00000X
Family Medicine Physician
2010-01703
NC
207Q00000X
Family Medicine Physician
35-08-3111-J
OH

Other

Enumeration date
04/13/2006
Last updated
09/16/2025
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