Jordan, Susan Stewart
Jordan, Susan Stewart is an individual health care provider with primary practice located at 2201 Newnan Crossing Blvd E Ste 100 , Newnan GA 30265-2551. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Jordan, Susan Stewart can be contacted via phone (770) 460-4747.Contact Information
Primary practice address
2201 Newnan Crossing Blvd E Ste 100
Newnan GA 30265-2551
Phone: (770) 460-4747
Fax: (678) 673-5102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 066169 | Georgia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 066169 | Georgia |
Profile Details
NPI number | 1336344324 |
---|---|
LBN Legal business name | Jordan, Susan Stewart |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2007 |
Last updated | May 27th, 2020 - about 4 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 | 1336344324 | NPPES |
Connecticut | Other | 045509 | STATE LICENSE |
Connecticut | Other | 066169 | STATE LICENSE |
Connecticut | Other | MD432428 | STATE LICENSE |
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