Organization
AVANT MEDICAL CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN CLIFTON SPELLMAN MD (MD, OWNER)
(330) 531-5210
Entity
Organization
Contact information
Practice address
109 ROSEGARTEN CT, NEW BERN, NC 28562-1016
(330) 531-5210
Mailing address
109 ROSEGARTEN CT, NEW BERN, NC 28562-1016
(330) 531-5210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017-01903
MD LICENSE
NC
Enumeration date
01/07/2020
Last updated
01/07/2020
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