Individual
DR. MARK SAUNDERS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 627-0900
Mailing address
PO BOX 767, EDEN, NC 27289-0767
(336) 623-9711
(336) 627-0900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0095-00627
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0095-00627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89132RC
—
NC
Enumeration date
09/14/2006
Last updated
11/18/2025
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