Individual
JORDAN DUBIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 251-8778
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 251-8778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86499
GA
Other
Enumeration date
03/20/2017
Last updated
08/18/2020
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