Individual
JORDAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2728 W MALLARD CREEK CHURCH RD, CHARLOTTE, NC 28262-2308
(980) 218-1860
Mailing address
2728 W MALLARD CREEK CHURCH RD, CHARLOTTE, NC 28262-2308
(980) 218-1860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
02/04/2024
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