Individual
DR. JOAN T JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NEW WAVERLY PL, STE 101, CARY, NC 27518-7414
(919) 233-3959
(919) 233-1003
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28656
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238722
RAILROAD MEDICARE PTAN
NC
05
—
8947410
—
NC
Enumeration date
05/19/2006
Last updated
09/11/2014
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