Individual
JORDAN LOGAN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4355 HICKORY BLVD UPPR SUITE1, GRANITE FALLS, NC 28630-2013
(828) 757-8251
Mailing address
4140 3RD ST NW, HICKORY, NC 28601-6901
(239) 410-6968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-02362
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
08/11/2022
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