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1386845535
BENJAMIN JORDAN
AUGUSTA, GA
NPI
1386845535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 4952)
Enumeration Date
2007-05-29
Last Update Date
2018-10-29
Business Address
BENJAMIN JORDAN PA
840 STEVENS CREEK RD
AUGUSTA, GA 30907-9251
Phone number: 706-724-9607
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Mailing Address
BENJAMIN JORDAN PA
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-774-7263
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