person
Mr. Charles Edward Jordan III, MD
Specialist in Cookeville, Tennessee
NPI 1285682419

Charles Edward Jordan III is a Specialist based in Cookeville, TN. Charles Edward Jordan III practices in Cookeville, TN and has the professional credentials of MD. The NPI Number for Charles Edward Jordan III is 1285682419 and holds a License No. 08063 (Tennessee).

The current practice location address for Charles Edward Jordan III is 100 W 4Th St, Cookeville, TN and can be reached out via phone at 931-528-1575 and via fax at 931-526-2962. You can also correspond with Charles Edward Jordan III through the mailing address at 100 W 4TH ST, COOKEVILLE, TN - 38501-2448 (mailing address contact number: 931-528-1575).

Location: 100 W 4Th St, Cookeville, TN, 38501-2448
person
Provider Profile Details
NPI Number
1285682419
Provider Name
Charles Edward Jordan III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 W 4Th St, Cookeville, TN, 38501-2448
Phone Number
931-528-1575
Fax Number
931-526-2962
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3153288 05 TN
institution
Provider Business Practice Location Address Details
Address
100 W 4Th St
City
State
Zip
38501-2448
Phone Number
931-528-1575
Fax Number
931-526-2962
person
Provider Business Mailing Address Details
Address
100 W 4Th St
City
State
Zip
38501-2448
Phone Number
931-528-1575
Fax Number
931-526-2962
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
08063 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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