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1083011704
MELANIE JORDAN
CARROLLTON, GA
NPI
1083011704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: GA 72107)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
-- MELANIE JORDAN
150 CLINIC AVE SUITE 101
CARROLLTON, GA 30117-4401
Phone number: 678-601-5220
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Mailing Address
-- MELANIE JORDAN
705 DALLAS HWY SUITE 301
VILLA RICA, GA 30180-1247
Phone number:
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