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NPI Profile for CLIFTON A JORDAN in CORDELE, GA.
A case manager who provides services for patients with prosthetics.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetics Case Management |
1744P3200X | |||
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1316502024 |
|
| Status | Active | |
| Credentials | MASTER BARBER | |
| Entity | Individual | |
| Enumeration date | 05/08/2019 | |
| Last updated | 06/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CLIFTON A JORDAN
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CLIFTON A JORDAN, MASTER BARBER