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Contact Information

JORDAN EDWARDS, MD
1061 HARMON AVE
FORT STEWART, GA31314-5641
 Phone: 912-435-6965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JORDAN EDWARDS · (Male)

NPI # 1154613677
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2011
Last updated 08/07/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 1571552
  • NV License # MD60522010
  • WA License # MD60522010
Hospital affiliation(s)
  • LEGACY EMANUEL MEDICAL CENTER - (Acute Care)
    2801 N GANTENBEIN AVENUE
    PORTLAND, OR 97227
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
  • LEGACY MERIDIAN PARK MEDICAL CENTER - (Acute Care)
    19300 SW 65TH AVENUE
    TUALATIN, OR 97062
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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