Provider Demographics
NPI:1629423454
Name:TRAORE, ELIZABETH JORDAN (MD, MPH&TM)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JORDAN
Last Name:TRAORE
Suffix:
Gender:F
Credentials:MD, MPH&TM
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:KAITLIN
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3512 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4808
Mailing Address - Country:US
Mailing Address - Phone:860-326-6692
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:860-326-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program