Individual
DEBRA ELAINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
Mailing address
235 RYAN RD, WINDER, GA 30680-3564
(770) 867-8007
(770) 586-5489
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032592
GA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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