Individual
JORDAN MATTHEW SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1860 ATKINSON RD STE 101, LAWRENCEVILLE, GA 30043-5066
(678) 442-7861
Mailing address
833 MONROE DR NE APT 1, ATLANTA, GA 30308-4514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016535
GA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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