Jordan, Robert

Jordan, Robert is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jordan, Robert can be contacted via phone (770) 920-6420.

Contact Information

Primary practice address
8954 Hospital Dr Douglasville GA 30134
Phone: (770) 920-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 001968 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001968 Georgia

Profile Details

NPI number 1326149063
LBN Legal business name Jordan, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326149063 NPPES
Georgia MEDICAID PENDING

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