Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. QUINCY JEROME JORDAN SR., MD
Active Sole ProprietorDR. QUINCY JEROME JORDAN SR., MD is a Family Medicine healthcare provider located in MONTEZUMA, Georgia. NPI 1093888687 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MONTEZUMA, GA
Registration Details
- NPI Number
- 1093888687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.737602316737 yrs)
- Last Updated
- May 16, 2018
- License
-
033367 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
509 SUMTER STMONTEZUMA, GA, 31063Browse GA providers · Browse ZIP 31063
- Phone
- 4784723100
- Fax
- 4784723248
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.