DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK BORDEAUX

Active Sole Proprietor

MARK BORDEAUX is a Skilled Nursing Facility healthcare provider located in JEFFERSON, North Carolina. NPI 1669711735 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · JEFFERSON, NC

Registration Details

NPI Number
1669711735
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2013 (13.471544163024 yrs)
Last Updated
Mar 30, 2020
License
2195 (NC)
Sole Proprietor
Yes

Practice Information

Address
MARGATE HEALTH AND REHAB 540 WAUGH ST
JEFFERSON, NC, 286409034
Browse NC providers · Browse ZIP 28640
Phone
3362465581
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.