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Misty Jordan
NPI 1376095976 · on the registry since 2016 · sole proprietor
Practice
- Address
- 610 Ballyshannon Dr
Dacula, GA 30019 - Phone
- (470) 429-8808
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2016-10-29
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