Jordon, Renie
Jordon, Renie is an individual health care provider with primary practice located at 300 Rawls Dr Ste 600 , Mccomb MS 39648-2862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordon, Renie can be contacted via phone (601) 249-4415.Contact Information
Primary practice address
300 Rawls Dr Ste 600
Mccomb MS 39648-2862
Phone: (601) 249-4415
Fax: (601) 249-4474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14640 | Mississippi |
Profile Details
| NPI number | 1962451294 |
|---|---|
| LBN Legal business name | Jordon, Renie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Dec 14th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962451294 | NPPES |
| Mississippi | MEDICAID | 00116649 |
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