| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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. 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 | |
Dr. Raghu R Katuru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-934-8977 Fax: 919-938-3108 |