Dr Jordan Edward Wong, DO | |
514 N Brightleaf Blvd Ste 1610, Smithfield, NC 27577-4486 | |
(919) 938-7187 | |
Not Available |
Full Name | Dr Jordan Edward Wong |
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Gender | Male |
Speciality | Family Medicine |
Location | 514 N Brightleaf Blvd Ste 1610, Smithfield, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255950465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2022-00815 (North Carolina) | Primary |
Entity Name | Unc Physicians Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
Mailing Address | Practice Location Address |
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Dr Jordan Edward Wong, DO 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () - | Dr Jordan Edward Wong, DO 514 N Brightleaf Blvd Ste 1610, Smithfield, NC 27577-4486 Ph: (919) 938-7187 |
Dr. Marie Luise Zaldivar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 E Market St, Smithfield, NC 27577 Phone: 919-934-7687 Fax: 919-934-5297 | |
Dr. Regina Murphy Ryan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 | |
Miroslav Gavazov, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 861 Berkshire Rd, Smithfield, NC 27577 Phone: 919-934-0985 | |
Dr. Stanley Rudolph Watson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 | |
Dr. Usha Guduru, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 517 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-989-5200 Fax: 919-989-5208 | |
Dr. Jesse Calvin Pittard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 |