Provider Demographics
NPI:1295904894
Name:LUNDAY, JORDAN L (DC)
Entity type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:L
Last Name:LUNDAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 LAWRENCEVILLE SUWANEE RD
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2954
Mailing Address - Country:US
Mailing Address - Phone:678-546-0550
Mailing Address - Fax:678-546-6885
Practice Address - Street 1:2445 MOON RD
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-7851
Practice Address - Country:US
Practice Address - Phone:678-985-7286
Practice Address - Fax:678-985-7287
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08271111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation