Individual
DR. LAURIE O'DANIEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, M.D.
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8111
Mailing address
400 W WILSON CREEK DR, TRENT WOODS, NC 28562-7540
(252) 636-5509
(252) 636-5583
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30394
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8947184
—
NC
Enumeration date
07/05/2006
Last updated
01/28/2020
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