ALTA JORDAN

COLUMBIA, SC
NPI1457702144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: SC  20190)
Enumeration Date2016-06-24
Last Update Date2021-08-25
Business Address
ALTA JORDAN AGACNP
1655 BERNARDIN AVE STE 220
COLUMBIA, SC 29204-2044
Phone number: 803-409-7170
Mailing Address
ALTA JORDAN AGACNP
PO BOX 935722
ATLANTA, GA 31193-5722
Phone number: 843-792-6200
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