| NPI | 1629101746 |
|---|---|
| Doing Business As | THE JORDAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS CACERES Pa C Office Mgr. 910-875-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-03-10 |