Individual
JORDAN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N POINTE BLVD, MOUNT AIRY, NC 27030-2266
(336) 789-6267
Mailing address
100 N POINTE BLVD, MOUNT AIRY, NC 27030-2266
(336) 789-6267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
101260577
VA
208000000X
Pediatrics Physician
Primary
2016-02108
NC
Other
Enumeration date
04/11/2013
Last updated
09/20/2022
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