JORDAN LONG

FAYETTEVILLE, GA
NPI1730769050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: GA  113359)
Enumeration Date2021-04-12
Last Update Date2026-10-08
Business Address
JORDAN LONG DO
1336 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4573
Phone number: 770-506-5410
Mailing Address
JORDAN LONG DO
1 BAYLOR PLZ STE 405A
HOUSTON, TX 77030-3411
Phone number: 713-798-5928