PHILIP ALTON JORDAN

GREENWOOD, SC
NPI1902523517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  4651)
Enumeration Date2022-10-24
Last Update Date2023-01-10
Business Address
PHILIP ALTON JORDAN
102 GREGOR MENDEL CIR
GREENWOOD, SC 29646-2315
Phone number: 864-229-2663
Mailing Address
PHILIP ALTON JORDAN
102 GREGOR MENDEL CIR
GREENWOOD, SC 29646-2315
Phone number: 864-229-2663
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