Individual
DR. JORDAN EDWARD WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
514 N BRIGHTLEAF BLVD STE 1610, SMITHFIELD, NC 27577-4486
(919) 938-7187
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-00815
NC
Other
Enumeration date
04/09/2020
Last updated
02/02/2024
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