Timothy D. Jordan, Md, Pllc

NPI 1043381320 - Ophthalmology - 207W00000X

NPI Details
NPI 1043381320
Enumeration Date 11/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIMOTHY D TIMOTHY
Position MEMBER
Phone (919) 782-5400
Fax (919) 782-1680
Practice Location
2709 BLUE RIDGE RD
SUITE 100
RALEIGH NC, 27607-6462, US
Phone (919) 782-5400
Fax (919) 782-1680
Business Location
2709 BLUE RIDGE RD
SUITE 100
RALEIGH NC, 27607-6462, US
Phone (919) 782-5400
Fax (919) 782-1680
Toxanomy
Taxonomy Code 207W00000X
License State North Carolina
License Number 9800583
Remove 1043381320 NPI Number
 

According to our database, Timothy D. Jordan, Md, Pllc NPI is 1043381320, taxonomy code is 207W00000X and license number is 9800583, license state is located at North Carolina. Timothy D. Jordan, Md, Pllc physically located at 2709 Blue Ridge Rd, Raleigh NC, 27607-6462. NPI Number 1033115704 has the healthcare provider type.

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1043381320 NPI number is provided on an as is basis without warranty of any kind. 1043381320 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy D. Jordan, Md, Pllc are for informational purposes only.