MR. Gerald Stephen Jordan JR., ATC
NPI #1952321184 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1952321184
- Entity Type
- Individual
- Name
- MR. Gerald Stephen Jordan JR., ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1417 MAPLE ST
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38733-0001
- Phone
- (662) 846-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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