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1083169940
JORDAN R BARHAM
WEST COLUMBIA, SC
NPI
1083169940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: SC 20424)
Enumeration Date
2016-08-22
Last Update Date
2020-10-13
Business Address
JORDAN R BARHAM NP-C
146 E HOSPITAL DR STE 120A
WEST COLUMBIA, SC 29169
Phone number: 803-936-7076
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Mailing Address
JORDAN R BARHAM NP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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