Organization
ACUTE CARE EMERGENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI GURROLA JORDAN PA (CEO)
(706) 221-6800
Entity
Organization
Contact information
Practice address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 221-6800
(706) 221-6921
Mailing address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 221-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
12/06/2019
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