Individual
JORDAN L. MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
DUMC 3403, DURHAM, NC 27710-4699
(919) 681-5176
(919) 660-3856
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
2019-02034
NC
Other
Enumeration date
03/31/2015
Last updated
07/12/2023
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