Individual
JORDAN PAINTER BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1821 HILLANDALE RD STE 24A, DURHAM, NC 27705-2671
(919) 383-4355
Mailing address
108 LINE BOAT LN, SWANSBORO, NC 28584-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09431
NC
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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