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Jordan Andrew Henderson, DO
Hematology & Oncology Physician in Myrtle Beach, South Carolina
NPI 1013200328

Jordan Andrew Henderson is a Hematology & Oncology Physician based in Myrtle Beach, SC and is specialized in Hematology & Oncology. Jordan Andrew Henderson practices in Myrtle Beach, SC and has the professional credentials of DO. The NPI Number for Jordan Andrew Henderson is 1013200328 and holds a License No. 5101019226 (South Carolina).

The current practice location address for Jordan Andrew Henderson is 8121 Rourk St, Myrtle Beach, SC and can be reached out via phone at 843-692-5000 and via fax at 843-692-5010.

Location: 8121 Rourk St, Myrtle Beach, SC, 29572-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013200328
Provider Name
Jordan Andrew Henderson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
8121 Rourk St, Myrtle Beach, SC, 29572-4128
Phone Number
843-692-5000
Fax Number
843-692-5010
Provider Enumeration Date
05/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8121 Rourk St
City
Myrtle Beach
State
South Carolina
Zip
29572
Phone Number
843-692-5000
Fax Number
843-692-5010
person
Provider Business Mailing Address Details
Address
8121 Rourk St
City
Myrtle Beach
State
South Carolina
Zip
29572
Phone Number
843-692-5000
Fax Number
843-692-5010
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
39910 (South Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101019226 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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