Individual
MISS JORDAN MARY MCAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
414 GALLIMORE DAIRY RD, SUITE B, GREENSBORO, NC 27409-9693
(336) 665-8445
(336) 665-8446
Mailing address
8300 FALLS OF NEUSE RD, SUITE 104, RALEIGH, NC 27615-3450
(919) 846-9668
(919) 846-9663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068TC
BCBS NC
NC
Enumeration date
05/16/2007
Last updated
05/27/2009
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