| Sharon S Jordon PC | |
|
2614 Cherokee Ave Macon GA 31204-3924 | |
| (478) 743-3583 | |
| (478) 743-3398 |
| Full Name | Sharon S Jordon PC |
|---|---|
| Speciality | Dentist |
| Location | 2614 Cherokee Ave, Macon, Georgia |
| Authorized Official Name and Position | Sharon Snell Jordan (DOCTOR/DENTIST) |
| Authorized Official Contact | 4787633583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon S Jordon PC 2614 Cherokee Ave Macon GA 31204-3924 Ph: (478) 743-3583 | Sharon S Jordon PC 2614 Cherokee Ave Macon GA 31204-3924 Ph: (478) 743-3583 |
| NPI Number | 1871595637 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871595637 | NPI | - | NPPES |
| 00254878C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9686 (Georgia) | Primary |
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