Most Relevant Information
Provider Data
| NPI Number: | 1003495508 |
| Provider Name: | JORDAN BARR |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 10490 |
Most Important Dates
| Enumeration Date: | 04/03/2021 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
119 HARMONY XING STE 1
EATONTON
GA
310249571
Practice Location Phone/Fax
| Phone: | 7622201880 |
| Fax: | 7622201181 |
Provider Mailing Location
3320 OLD JEFFERSON RD BLDG 800
ATHENS
GA
306071400
Provider Mailing Phone/Fax
| Phone: | 7063532990 |
| Fax: | 7063532992 |