Individual
JORDAN CIURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-1538
(706) 721-6744
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
90091
GA
207RX0202X
Medical Oncology Physician
90091
GA
390200000X
Student in an Organized Health Care Education/Training Program
BTLS483
ZZ
Other
Enumeration date
06/22/2016
Last updated
03/11/2024
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