Individual
MR. JORDAN CHRISTOPHER SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 MCDOWELL ST, ASHEVILLE, NC 28801-4104
(828) 255-3749
(828) 254-9925
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2022-02522
NC
207K00000X
Allergy & Immunology Physician
ME 116755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902078066
—
NC
01
—
NNN346A
MEDICARE PTAN
NC
Enumeration date
03/28/2008
Last updated
10/30/2023
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