| Doctor Name: | JORGE ENRIQUE ORDONEZ |
| NPI Number: | 1003865346 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 14915 |
| Business Practice Address: | 1032 Mccallie Ave Suite 100 Chattanooga, TN - 374032800 |
| Business Phone Number: | 4232664588 |
| Business Fax Number: | 8653420103 |
| Mailing Address: | 6350 W Andrew Johnson Hwy, Department 100 TALBOTT |
| State: | TN |
| Postal Code: | 378778605 |
| Phone Number: | 8003553565 |
| Fax Number: | 4237142355 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 02/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 14915 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |