Jordan, Traci Pope

Jordan, Traci Pope is an individual health care provider with primary practice located at 150 Medical Way Ste E1, Riverdale GA 30274-2533. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jordan, Traci Pope can be contacted via phone (770) 991-2747.

Contact Information

Primary practice address
150 Medical Way Ste E1 Riverdale GA 30274-2533
Phone: (770) 991-2747
Fax: (770) 991-1704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT010458 Georgia

Profile Details

NPI number 1356624910
LBN Legal business name Jordan, Traci Pope
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2011
Last updated Jul 22nd, 2015 - about 11 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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