Individual
MICHAEL CHRISTOPHER JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
1325 MCFARLAND BLVD, NORTHPORT, AL 35476-3270
(205) 333-4766
(205) 333-4776
Mailing address
5122 BLACKSTONE LN, NORTHPORT, AL 35473-1092
(205) 603-9961
(205) 333-4776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1245
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245
ALABAMA BOARD OF ATHLETIC TRAINERS
AL
Enumeration date
06/16/2016
Last updated
06/16/2016
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