| Jordan King, | |
|
104 College Dr, Flat Rock, NC 28731-7756 | |
| (800) 226-8874 | |
| Not Available |
| Full Name | Jordan King |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 104 College Dr, Flat Rock, 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 |
|---|---|---|---|
| 1679934400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan King, 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 Ph: (800) 226-8874 | Jordan King, 104 College Dr, Flat Rock, NC 28731-7756 Ph: (800) 226-8874 |
Rachel Grey Mckenzie, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 College Dr, Flat Rock, NC 28731 Phone: 800-226-8874 |
Brooke Graves, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 College Dr, Flat Rock, NC 28731 Phone: 800-226-8874 |
Madison Jane Siddall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 389 Hill Branch Rd, Flat Rock, NC 28731 Phone: 231-709-0081 |
Mr. Harvey Clyde Nix Iii, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-356-3998 |
Mr. Garrett Thomas Baldwin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 104 College Dr, Flat Rock, NC 28731 Phone: 800-226-8874 |
Katherine Clark Moretz, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-6764 |
Kathleen Lauren Huffman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 389 Hill Branch Rd Apt 1203, Flat Rock, NC 28731 Phone: 850-524-0871 |