Organization
ANESTHESIA CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE O'DANIEL JORDAN RPH, M.D. (PRESIDENT)
(252) 636-5509
Entity
Organization
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 934-8171
Mailing address
400 WEST WILSON CREEK DRIVE, NEW BERN, NC 28562-7540
(252) 636-5509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890176X
—
NC
Enumeration date
07/03/2006
Last updated
07/21/2022
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