Sharon S Jordon Pc | |
2614 Cherokee Ave Macon GA 31204-3924 | |
(478) 743-3583 | |
(478) 743-3398 |
Full Name | Sharon S Jordon Pc |
---|---|
Speciality | Dentist |
Location | 2614 Cherokee Ave, Macon, Georgia |
Authorized Official Name and Position | Sharon Snell Jordan (DOCTOR/DENTIST) |
Authorized Official Contact | 4787633583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sharon S Jordon Pc 2614 Cherokee Ave Macon GA 31204-3924 Ph: (478) 743-3583 | Sharon S Jordon Pc 2614 Cherokee Ave Macon GA 31204-3924 Ph: (478) 743-3583 |
NPI Number | 1871595637 |
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Provider Enumeration Date | 08/11/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871595637 | NPI | - | NPPES |
00254878C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9686 (Georgia) | Primary |
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