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Contact Information

JORDANN E DEACON, PA-C
2630 E 7TH ST STE 200
CHARLOTTE, NC28204-4319
 Phone: 704-364-6110
 Fax: 704-364-4245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JORDANN E DEACON · (Female)

NPI Number 1942939392
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/09/2022
Last updated 09/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 0010-12912
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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