Individual
DR. TIMOTHY D JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2709 BLUE RIDGE RD, STE 100, RALEIGH, NC 27607-6462
(919) 782-5400
(919) 782-1680
Mailing address
2709 BLUE RIDGE RD, STE 100, RALEIGH, NC 27607-6462
(919) 782-5400
(919) 782-1680
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9800583
NC
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
9800583
NC
Other
Enumeration date
06/29/2007
Last updated
03/29/2021
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