Individual
RYAN MICHAEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 DOCTORS DR STE N, KINSTON, NC 28501-1584
(252) 559-2200
Mailing address
701 DOCTORS DR STE N, KINSTON, NC 28501-1584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
191589
NC
207RG0100X
Gastroenterology Physician
Primary
2016-00904
NC
Other
Enumeration date
05/08/2013
Last updated
03/10/2022
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