Individual
SHERYL GILLIKIN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 MEDICAL DR, FAYETTEVILLE, NC 28304-4425
(910) 486-5700
(910) 486-5950
Mailing address
1301 MEDICAL DR, FAYETTEVILLE, NC 28304-4425
(910) 486-5700
(910) 486-5950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101282921
VA
2085R0202X
Diagnostic Radiology Physician
Primary
32320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8947415
—
NC
Enumeration date
05/27/2005
Last updated
08/20/2024
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