Quincy Jerome Jordan in Montezuma - Family Medicine

Quincy Jerome Jordan - NPI 1093888687

Quincy Jerome Jordan is a Family Medicine in Montezuma, Georgia. Quincy Jerome Jordan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Quincy Jerome Jordan is 1093888687. The last update date is 2018-05-16.

Quincy Jerome Jordan's current location address is 509 Sumter St, Montezuma, Georgia. You can contact this provider via phone number 4784723100 and fax number 4784723248. The mailing address for Quincy Jerome Jordan is 509 Sumter St, Montezuma, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Quincy Jerome Jordan
Address 509 Sumter St, Montezuma, Georgia
Phone Number 4784723100
Fax Number 4784723248
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1093888687
Provider Enumeration Date 2006-11-15
Last Updated Date 2018-05-16

Provider Mailing Address Detail

Address 509 Sumter St
City Montezuma
State Georgia (GA)
Post Code 310631733
Phone Number 4784723100
Fax Number 4784723248

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 33367
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Quincy Jerome Jordan

What is the unique provider identifier assigned to Quincy Jerome Jordan?

The Quincy Jerome Jordan has been issued the NPI (National Provider Identifier) 1093888687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Quincy Jerome Jordan is physically located?

The Quincy Jerome Jordan is situated at the following address: 509 Sumter St, Montezuma, GA 310631733.

What is the Quincy Jerome Jordan's specialty and taxonomy code?

The Quincy Jerome Jordan's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date was the 1093888687 assigned to Quincy Jerome Jordan?

The Quincy Jerome Jordan was issued its 1093888687 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Quincy Jerome Jordan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Quincy Jerome Jordan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-16.

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