Quincy Jordan MD LLC

NPI #1972851384 in Kathleen, Georgia

Provider Information

NPI Number: 1972851384
Entity Type: Organization
Organization Name: Quincy Jordan MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 16, 2012
Last Updated: Sep 4, 2012

Practice Location

Address: 2350 SOUTH HOUSTON LAKE RD
Address 2: #902
City: Kathleen
State: Georgia
ZIP Code: 31047-5414
Phone: (877) 610-2791

Authorized Official

Name: DR. QUINCY J JORDAN, MD
Title: OWNER
Phone: (877) 610-2791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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