Jordan, Todd

Jordan, Todd is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jordan, Todd can be contacted via phone (770) 536-2146.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 536-2146
Fax: (770) 536-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 035915 Georgia

Profile Details

NPI number 1386610202
LBN Legal business name Jordan, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jun 4th, 2008 - about 17 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 1386610202 NPPES
Georgia Other 511I930016 MEDICARE PIN URGENT CARE FRIENDSHIP
Georgia Other 000517844L MEDICARE PIN URGENT CARE FRIENDSHIP
Georgia MEDICAID 000517844J MEDICARE PIN URGENT CARE FRIENDSHIP
Georgia MEDICAID 000517844K MEDICARE PIN URGENT CARE FRIENDSHIP

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