Individual
DR. CHARLES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
412 NORTHSIDE DR E, STATESBORO, GA 30458-4802
(912) 225-0777
Mailing address
1713 GREEN ACRES DR, VIDALIA, GA 30474-8531
(912) 293-4642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053162016
DRIVERS LICENSE
—
Enumeration date
09/05/2019
Last updated
11/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us