Individual
DR. DANIEL JORDAN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 ROCK MERRITT AVE MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6099
Mailing address
2817 ROCK MERRITT AVE, MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-03215
NC
Other
Enumeration date
06/03/2019
Last updated
07/16/2025
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