Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLIFTON ANTHONY JORDAN, MASTER BARBER
Active Sole ProprietorMR. CLIFTON ANTHONY JORDAN, MASTER BARBER is a Physical Therapist Assistant healthcare provider located in CORDELE, Georgia. NPI 1316502024 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · CORDELE, GA
Registration Details
- NPI Number
- 1316502024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2019 (7.3024477204363 yrs)
- Last Updated
- Jun 22, 2020
- License
-
BR019994 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1106 EAST AVE SUITE JCORDELE, GA, 31015Browse GA providers · Browse ZIP 31015
- Phone
- 2294060499
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
- Additional Specialty
- Prosthetic/Orthotic Supplier
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.