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
Fax: (678) 673-5102
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336344324 NPPES
Connecticut Other 045509 STATE LICENSE
Connecticut Other 066169 STATE LICENSE
Connecticut Other MD432428 STATE LICENSE

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