Charice Jordan, PA-C
NPI #1205189859 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1205189859
- Entity Type
- Individual
- Name
- Charice Jordan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 19, 2012
- Last Updated
- May 21, 2014
Practice Location
- Address
- 939 THORNTON RD
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-2634
- Phone
- (770) 948-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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