Provider Demographics
NPI:1194791988
Name:JORDAN, CHRISTOPHER PAGE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PAGE
Last Name:JORDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:649 GUY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-4224
Mailing Address - Country:US
Mailing Address - Phone:919-938-4044
Mailing Address - Fax:919-938-3055
Practice Address - Street 1:649 GUY RD STE 200
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-4224
Practice Address - Country:US
Practice Address - Phone:919-938-4044
Practice Address - Fax:919-938-3055
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000842207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1324UOtherBLUE CROSS BLUE SHIELD
NC891324UMedicaid
NC891324UMedicaid
NCH14121Medicare UPIN