Individual
JAMES DARYL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
629 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5014
(865) 774-4440
(865) 774-4868
Mailing address
629 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5014
(865) 774-4440
(865) 774-4868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD27646
TN
207X00000X
Orthopaedic Surgery Physician
Primary
27646
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619965423
—
TN
05
—
3804297
—
TN
Enumeration date
10/06/2005
Last updated
06/29/2020
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