NPI

Jordan Thomas Houston

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2017-06-12
Last updated
2022-07-21

Specialties

Licenses

License GA
008366

Location

Practice location
519 Stephenson Ave
City
Savannah GA
Postal code
31405-5969
Phone
(912) 354-9447

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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