Individual provider · Type 1 NPI
Desiree Jordan
Durable Medical Equipment & Medical Supplies · Macon, GA
NPI number
1740093244
Active
Practice location
3872 Pio Nono Ave
Macon, GA 31206-3042
Mailing address
3900 Northside Dr, Macon, Ga 31210, Usa, D15
Macon, GA 31210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | COA010392 (GA) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1740093244
Desiree Jordan's National Provider Identifier is 1740093244, issued on Jan 29, 2025. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Macon, GA. The record was last updated on Jan 29, 2025.