Robert Jordan

Physician Assistant · Douglasville, GA

Individual Active NPI

NPI number 1326149063

Practice location

8954 Hospital Dr
Douglasville, GA 30134
Phone
(770) 920-6420

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NPI record

NPI
1326149063
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
September 4, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 001968 GA
Emergency Medicine Physician 207P00000X 001968 GA

Mailing address

5665 New Northside Dr NW
Atlanta, GA 30328-5831
Phone
(770) 874-5400

About Robert Jordan

Robert Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 8954 Hospital Dr, Douglasville, GA 30134. The NPI number 1326149063 was assigned on September 26, 2006 and the record was last updated on September 4, 2018.

Robert Jordan lists 2 licenses in the registry: #001968 (GA) for Physician Assistant; #001968 (GA) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Jordan?

The NPI number is 1326149063.

What is the phone number of Robert Jordan?

The phone number listed for the practice location is (770) 920-6420.

Where is Robert Jordan located?

8954 Hospital Dr, Douglasville, GA 30134.

What is the taxonomy code for Robert Jordan?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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