Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORDAN DREW BETTLEYON, MS, LAT, ATC, EP-C
Active Sole ProprietorMR. JORDAN DREW BETTLEYON, MS, LAT, ATC, EP-C is a Sports Medicine (PM&R) healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1841784170 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1841784170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2018 (8.1198270035964 yrs)
- Last Updated
- Aug 8, 2018
- Licenses
-
RTO000311 (PA)003597 (NY)3994 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5400 RAMSEY STFAYETTEVILLE, NC, 28311Browse NC providers · Browse ZIP 28311
- Phone
- 9106307000
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
- Additional Specialty
- Sports Medicine (PM&R)
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.