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Contact Information

TIMOTHY D JORDAN, MD
2709 BLUE RIDGE RD
STE 100
RALEIGH, NC27607-6462
 Phone: 919-782-5400
 Fax: 919-782-1680
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for TIMOTHY D JORDAN · (Male)

NPI # 1982801130
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2007
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9800583
Hospital affiliation(s)
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
  • WAKEMED RALEIGH CAMPUS - (Acute Care)
    3000 NEW BERN AVE
    RALEIGH, NC 27610
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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