Jordan Michael Andrews, PA-C
Physician Assistant in Lumberton, NC. Individual provider (NPI-1).
NPI number1366831067
StatusActive
Last updated in NPPESMay 6, 2015
Details
- NPI
- 1366831067
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jordan Michael Andrews
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2015
- Last updated
- May 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-05509 | NC | Yes |
Practice location
4843 Pinedale BlvdLumberton, NC 28358-2101
Phone 704-292-5668
Mailing address
4843 Pinedale BlvdLumberton, NC 28358-2101
Phone 704-292-5668
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