Jordan Tynes

NPI #1386274892 in Mountain Brk, Alabama

Provider Information

NPI Number: 1386274892
Entity Type: Individual
Name: Jordan Tynes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 3520 BELLE MEADE WAY
City: Mountain Brk
State: Alabama
ZIP Code: 35223-1522
Phone: (205) 936-5832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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