Individual
TERRI GURROLA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS, APA
Contact information
Practice address
700 CENTER ST, SUITE 102, COLUMBUS, GA 31901
(706) 571-1011
(706) 320-8646
Mailing address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 321-1223
(706) 321-0819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003981
GA
Other
Enumeration date
04/28/2006
Last updated
05/15/2018
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