MR. CLIFTON ANTHONY JORDAN


Address: 1106 East Ave Suite J, Cordele, GA 31015
Phone: 2294060499

MR. CLIFTON ANTHONY JORDAN (NPI# 1316502024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316502024
Entity Type Individual
Full Name MR. CLIFTON ANTHONY JORDAN
Other Name MR. CLIFTON ANTHONY JORDAN
Credential MASTER BARBER
Practice Address 1106 East Ave Suite J
Cordele
GA 31015
Mailing Address 215 W 27th Ave
Cordele
GA 31015-3854
Practice Telephone 2294060499
Mailing Telephone 2294060499
Enumeration Date 2019-05-08
Last Update Date 2020-06-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
GA Other Service Providers
N 335E00000X Prosthetic/Orthotic Supplier BR019994 GA Suppliers

Other Providers CLIFTON JORDAN

NPI Name Taxonomy Address Enumeration
1083662415 Clifton Jordan IIi Dentist 2197 Saint Matthews Rd, Orangeburg, SC 29118-2038 2006-05-05

Office Location

Street Address 1106 EAST AVE SUITE J
City CORDELE
State GA
Zip Code 31015

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618164 Jeffrey Allen Wessel Jr. Physical Therapist 1107b Greer Street, Cordele, GA 31015 2020-08-03
1336678440 Robert Kenneth Lancaster Dentist 604 E 15th Avenue, Cordele, GA 31015 2017-06-12
1457602435 Marvin Tolbert Mcafee IIi Physician Assistant 416 East 4th Ave, Suite B, Cordele, GA 31015 2012-10-01
1568719169 Kimberly Bertelson Physical Therapy Assistant 1107 Greer Street, Suite B, Cordele, GA 31015 2012-08-14
1134474174 R W Leitner Od LLC Optometrist 716-c 16th Ave East, Cordele, GA 31015 2012-07-16
1790048023 Holly K Davis Nurse Practitioner 602 E 16th Ave Ste B, Cordele, GA 31015 2012-06-21
1508141482 Beatrice Hurt Mckee Nurse Practitioner 216 Hospital Drive., Cordele, GA 31015 2011-10-11
1669784393 Elisabeth R Waldrip Dentist 115 E 14th Avenue, Cordele, GA 31015 2010-07-10
1063656403 Priscilla George Thomas Surgery 416 E 4th Ave # A, Cordele, GA 31015 2009-04-29
1114107810 Kevin M Holloway Internal Medicine 108 E. Fourth Ave., Cordele, GA 31015 2007-11-09
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225638448 Shariyfa Ferron Specialist 1864 Scenic Hwy N Ste 112, Snellville, GA 30078-2549 2020-10-27
1851908016 Takenya Lacole Jordan Specialist 2231 Dawson Rd Ste Ij, Albany, GA 31707-3227 2020-09-30
1437765724 Shanea Buie Specialist 5977 Whitesville Rd Ste 20, Columbus, GA 31904-3618 2020-09-22
1114537313 Kimberly Melissa Sampson Specialist 2386 Clower St Ste 102, Snellville, GA 30078-6134 2020-08-04
1295351302 Marquisha General Specialist 1639 Lower Roswell Rd, Marietta, GA 30068-3343 2020-06-24
1053937805 Angela D Zanders Specialist 1600 E Forsyth St, Americus, GA 31709-3856 2020-06-17
1770107526 Natasha Monic Douglas Specialist 1630 Scenic Hwy N, Snellville, GA 30078-5647 2020-06-07
1518595479 Jacque Monae LLC Specialist 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 2020-03-27
1518592716 Naquiesha Peterson Specialist 3510 Ponderosa Ln, Powder Springs, GA 30127-2074 2020-03-08
1295368900 Doris Huff Hardeman Specialist 75 Rolling Ridge Dr, Covington, GA 30016-1823 2020-02-20
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Competitor

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City CORDELE
Zip Code 31015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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