Individual
JORDAN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 MANNING DR CB 7594, CHAPEL HILL, NC 27599-2360
(919) 966-6440
Mailing address
170 MANNING DR CB 7594, CHAPEL HILL, NC 27599-2360
(919) 966-6440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-01744
NC
Other
Enumeration date
04/20/2014
Last updated
05/17/2020
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