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DR. QUINCY JEROME JORDAN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1093888687

Individual Registrant:
DR. QUINCY JEROME JORDAN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
509 SUMTER ST  MONTEZUMA, GA 31063 US
Tel: 478-472-3100  Fax: 478-472-3248

Contact information for business:
509 SUMTER ST  MONTEZUMA, GA 31063-1733 US
Tel: 478-472-3100  Fax: 478-472-3248

Registration Information:
NPI: 1093888687
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA033367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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