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Individual

DR. BENJAMIN WILLIAM JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 740-4366
(740) 775-7855

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35-06-5848-J
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35-06-5848-J
OH

Other

Enumeration date
01/20/2006
Last updated
11/05/2019
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