Search › Georgia › 367500000X
Jordan Mark
NPI 1275142572 · on the registry since 2020
Practice
- Address
- Winn Army Community Hospital
1061 Harmon Ave
Fort Stewart, GA 31314 - Phone
- (912) 435-6679
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia