Individual
DR. STUART H JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-3301
(910) 323-4207
Mailing address
2950 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-3301
(910) 323-4207
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4748A
BCBS
NC
05
—
894748A
—
NC
Enumeration date
05/23/2005
Last updated
07/08/2007
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