William Anthony Jordan in Valdosta - Addiction (substance Use Disorder)

William Anthony Jordan - NPI 1790974319

William Anthony Jordan is a Addiction (substance Use Disorder) in Valdosta, Georgia. William Anthony Jordan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for William Anthony Jordan is 1790974319. The last update date is 2007-10-19.

William Anthony Jordan's current location address is 2841 N Patterson St, Valdosta, Georgia. You can contact this provider via phone number 2293160132 and fax number 2293160162. The mailing address for William Anthony Jordan is 2841 N Patterson St, Valdosta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name William Anthony Jordan
Address 2841 N Patterson St, Valdosta, Georgia
Phone Number 2293160132
Fax Number 2293160162
Sole Proprietor N
Credentials CERTIFIED

NPI Number Detail

NPI Number 1790974319
Provider Enumeration Date 2007-10-19
Last Updated Date 2007-10-19

Provider Mailing Address Detail

Address 2841 N Patterson St
City Valdosta
State Georgia (GA)
Post Code 316021743
Phone Number 2293160132
Fax Number 2293160162

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 268
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about William Anthony Jordan

What is the unique 10-digit identifier code assigned to William Anthony Jordan by the Centers for Medicare & Medicaid Services?

The William Anthony Jordan has been issued the NPI (National Provider Identifier) 1790974319 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where William Anthony Jordan is physically located?

The William Anthony Jordan is situated at the following address: 2841 N Patterson St, Valdosta, GA 316021743.

What is William Anthony Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for William Anthony Jordan is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

When did William Anthony Jordan receive its 1790974319 assignment?

The William Anthony Jordan was assigned its 1790974319 on 2007-10-19, which is the date when this unique identifier was issued to the organization.

When was the information regarding William Anthony Jordan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William Anthony Jordan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-19.

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