Jordan, Gary Alan

Jordan, Gary Alan is an individual health care provider with primary practice located at 597 S Enota Dr Ne , Gainesville GA 30501-2545. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jordan, Gary Alan can be contacted via phone (770) 219-7777.

Contact Information

Primary practice address
597 S Enota Dr Ne Gainesville GA 30501-2545
Phone: (770) 219-7777
Fax: (770) 219-7778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 82416 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 82416 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 59062 Tennessee

Profile Details

NPI number 1134344195
LBN Legal business name Jordan, Gary Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Feb 14th, 2024 - about 9 months 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 1134344195 NPPES
Georgia MEDICAID 594792204A

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