Most Relevant Information
Provider Data
| NPI Number: | 1003258930 |
| Provider Name: | CHARANDLE S JORDAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | A133826 |
Most Important Dates
| Enumeration Date: | 07/19/2013 |
| Last Updated: | 08/07/2020 |
Provider Practice Location
1314 19TH AVE
MERIDIAN
MS
393014116
Practice Location Phone/Fax
| Phone: | 6014830011 |
| Fax: |
Provider Mailing Location
4315 HIGHWAY 39 N APT 10K
MERIDIAN
MS
393011017
Provider Mailing Phone/Fax
| Phone: | 6507753312 |
| Fax: |
Suggested EMR
Internist EMR