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Tim Jordan

NPI 1720898687 · on the registry since 2025 · sole proprietor

Practice

Address
107 Cotton Indian Trl
Stockbridge, GA 30281
Phone
(228) 313-8656

Registry record

Primary taxonomy
171R00000X
171R00000X
Sex
Male
Record last updated
2025-01-11

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