Individual provider · Type 1 NPI

Charles Edward Jordan Iii, MD

Specialist · Cookeville, TN

NPI number 1285682419 Active

Practice location

100 W 4th St, Suite 200
Cookeville, TN 38501-2448

Call (931) 528-1575 Map

Fax (931) 526-2962

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X08063 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1285682419

Charles Edward Jordan Iii, MD's National Provider Identifier is 1285682419, issued on May 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cookeville, TN. The record was last updated on Jul 8, 2007.