Individual
JORDAN ANTONIO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2207
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01089550A
IN
207Y00000X
Otolaryngology Physician
5394
IN
207Y00000X
Otolaryngology Physician
71383
TN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
71383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063220090
MEDICARE PTAN
IN
Enumeration date
03/24/2016
Last updated
09/22/2024
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