Individual
MR. AMOS JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 CANNONBALL RUN APT 206, KNIGHTDALE, NC 27545-6655
(301) 633-0510
Mailing address
1110 CANNONBALL RUN APT 206, KNIGHTDALE, NC 27545-6655
(301) 633-0510
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C20217
NC
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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