person
Mr. Michael T Jordan, PA-C
Surgical Physician Assistant in Huntsville, Alabama
NPI 1639258494

Michael T Jordan is a Surgical Physician Assistant based in Huntsville, AL and is specialized in Surgical. Michael T Jordan practices in Huntsville, AL and has the professional credentials of PA-C. The NPI Number for Michael T Jordan is 1639258494 and holds a License No. PA513 (Alabama).

The current practice location address for Michael T Jordan is 927 Franklin St Se, Huntsville, AL and can be reached out via phone at 256-539-2728 and via fax at 256-428-3423.

Location: 927 Franklin St Se, Huntsville, AL, 35801-4306
person
Provider Profile Details
NPI Number
1639258494
Provider Name
Michael T Jordan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
927 Franklin St Se, Huntsville, AL, 35801-4306
Phone Number
256-539-2728
Fax Number
256-428-3423
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51546369 01 AL BCBS
7088895 01 AL AETNA
009913302 05 AL
POO777891 01 AL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
927 Franklin St Se
City
State
Zip
35801-4306
Phone Number
256-539-2728
Fax Number
256-428-3423
person
Provider Business Mailing Address Details
Address
927 Franklin St Se
City
State
Zip
35801-4306
Phone Number
256-539-2728
Fax Number
256-428-3423
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA513 (Alabama)
Definition
Definition to come...
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