Individual
MR. JORDAN MICHAEL ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4843 PINEDALE BLVD, LUMBERTON, NC 28358-2101
(704) 292-5668
Mailing address
4843 PINEDALE BLVD, LUMBERTON, NC 28358-2101
(704) 292-5668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05509
NC
Other
Enumeration date
01/19/2015
Last updated
05/06/2015
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