Organization
MICHELE JORDAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE JORDAN (PHYSICIAN)
(205) 661-3737
Entity
Organization
Contact information
Practice address
145 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1330
(205) 661-3737
Mailing address
145 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1330
(205) 661-3737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208D00000X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529916720
—
AL
Enumeration date
08/11/2006
Last updated
09/03/2009
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