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1902915135
LOUIS COLLIER JORDAN
JOHNSON CITY, TN
NPI
1902915135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: TN 11556)
Enumeration Date
2006-08-30
Last Update Date
2014-12-03
Business Address
-- LOUIS COLLIER JORDAN MD
2428 KNOB CREEK RD SUITE 201
JOHNSON CITY, TN 37604-2397
Phone number: 423-282-5054
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Mailing Address
-- LOUIS COLLIER JORDAN MD
105 W STONE DR SUITE 6A
KINGSPORT, TN 37660-3365
Phone number: 423-408-7220
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