Individual
JORDAN MAE BURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PO BOX 2959, ASHEVILLE, NC 28802-2959
(828) 693-2058
Mailing address
2786 BIRCHWOOD DR, WINSTON SALEM, NC 27103-3408
(918) 346-7755
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2021-00426
NC
2085R0202X
Diagnostic Radiology Physician
Primary
2021-00426
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
09/24/2024
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