Individual
JORDAN A BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4404 HUGH HOWELL RD, SUITE 18, TUCKER, GA 30084-4916
(770) 493-5543
(770) 493-5549
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH009775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH009775
PT LICENSE
GA
Enumeration date
10/15/2009
Last updated
11/18/2010
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