William D Jordan JR.
Vascular Surgeon
1365 Clifton Rd Ne Tec Building A, Room 2200
Atlanta
, Georgia 30322-1013
William D Jordan JR.
Vascular Surgeon
1365 Clifton Rd Ne Tec Building A, Room 2200
Atlanta
, Georgia 30322-1013
(404) 727-1994
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- William D Jordan JR.
- 1365 Clifton Rd Ne Tec Building A, Room 2200
- Atlanta, GA
- Zip : 30322-1013
- Phone : (404) 727-1994
Second Address
- William D Jordan JR.
- 1365 Clifton Rd Ne Tec Building A, Room 2200
- Atlanta, GA
- Zip : 30322-1013
- Phone : (404) 727-1994
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 14678 | AL |
National Provider Identifier
| NPI | 1134159668 |
|---|---|
| Provider Name | William D Jordan JR. |
| First Address | Atlanta, GA 30322-1013 |
| Second Address | Atlanta, GA 30322-1013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 11/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000027366 | (05) | AL |
| 000027366 | BLUE CROSS (01) | AL |
| 770000637 | RAILROAD MEDICARE (01) | AL |
| E92967 | VIVA (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.