person
Philip Alton Jordan
Surgical Physician Assistant in Greenwood, South Carolina
NPI 1902523517

Philip Alton Jordan is a Surgical Physician Assistant based in Greenwood, SC and is specialized in Surgical. Philip Alton Jordan practices in Greenwood, SC. The NPI Number for Philip Alton Jordan is 1902523517 and holds a License No. 4651 (South Carolina).

The current practice location address for Philip Alton Jordan is 102 Gregor Mendel Cir, Greenwood, SC and can be reached out via phone at 864-229-2663 and via fax at 864-223-5694.

Location: 102 Gregor Mendel Cir, Greenwood, SC, 29646-2315
person
Provider Profile Details
NPI Number
1902523517
Provider Name
Philip Alton Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Gregor Mendel Cir, Greenwood, SC, 29646-2315
Phone Number
864-229-2663
Fax Number
864-223-5694
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Gregor Mendel Cir
City
State
Zip
29646-2315
Phone Number
864-229-2663
Fax Number
864-223-5694
person
Provider Business Mailing Address Details
Address
102 Gregor Mendel Cir
City
State
Zip
29646-2315
Phone Number
864-229-2663
Fax Number
864-223-5694
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4651 (South Carolina)
Definition
Definition to come...
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