| Doctor Name: | DR. JONATHAN ORTON |
| NPI Number: | 1932335338 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 2014-01078 |
| Business Practice Address: | 624 W Main St Yadkinville, NC - 270557804 |
| Business Phone Number: | 3366796729 |
| Business Fax Number: | 3366796717 |
| Mailing Address: | 1128 Parish St, GREENSBORO |
| State: | NC |
| Postal Code: | 274088110 |
| Phone Number: | 3366796729 |
| Fax Number: | 3366796717 |
| NPI Enumeration Date: | 06/01/2009 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2014-01078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |