JORDAN VAN SWEARINGEN

MEMPHIS, TN
NPI1215425665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: TN  65432)
Additional Taxonomies207L00000X Anesthesiology
(Licence: NC  2021-00236)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  238546)
Enumeration Date2018-05-01
Last Update Date2022-05-26
Business Address
JORDAN VAN SWEARINGEN MD
6019 WALNUT GROVE RD
MEMPHIS, TN 38120-2113
Phone number: 901-227-2453
Mailing Address
JORDAN VAN SWEARINGEN MD
6019 WALNUT GROVE RD
MEMPHIS, TN 38120-2113
Phone number: 901-227-2453