Individual
DR. GUY W JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1566 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1714
(770) 534-5262
(770) 534-3224
Mailing address
1566 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1714
(770) 534-5262
(770) 534-3224
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY000863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000289198A
—
GA
Enumeration date
10/12/2006
Last updated
02/25/2013
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