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NPI Code Detail

MEDICARE: JORDAN KEMME MD

MEDICARE: JORDAN KEMME MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician96653GA

General Provider Information

NPI Number : 1497251375
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN KEMME MD
Provider Business Mailing Address
First Line : PO BOX 200096
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30120-9002
Country : US
Telephone Number : 770-607-7339
Fax Number : 678-905-7053
Provider Business Practice Location Address
First Line : 960 JOE FRANK HARRIS PKWY SE
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30120-2129
Country : US
Telephone Number : 770-607-7339
Fax Number : 678-905-7053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2018
Last Update Date : 03/10/2026

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