Robert Jordan in Douglasville - Physician Assistant
Robert Jordan - NPI 1326149063
Robert Jordan is a Physician Assistant in Douglasville, Georgia. Robert Jordan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Jordan is 1326149063. The last update date is 2018-09-04.
Robert Jordan's current location address is 8954 Hospital Dr, Douglasville, Georgia. You can contact this provider via phone number 7709206420. The mailing address for Robert Jordan is 8954 Hospital Dr, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Jordan |
|---|---|
| Address | 8954 Hospital Dr, Douglasville, Georgia |
| Phone Number | 7709206420 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1326149063 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2018-09-04 |
Provider Mailing Address Detail
| Address | 8954 Hospital Dr |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 30134 |
| Phone Number | 7709206420 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1968 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Jordan by the Centers for Medicare & Medicaid Services?
The Robert Jordan has been issued the NPI (National Provider Identifier) 1326149063 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Robert Jordan?
The Robert Jordan is physically situated at 8954 Hospital Dr, in the city of Douglasville, state of GA, with the postal code 30134.
What is Robert Jordan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Jordan's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1326149063 assigned to Robert Jordan?
The Robert Jordan was issued its 1326149063 on 2006-09-26, 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 regarding Robert Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-04.