Individual
JORDAN REAGAN AIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 596-5409
Mailing address
315 KITCHENS ORCHARD RD, HEDGESVILLE, WV 25427-5884
(301) 988-8932
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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