Doctor Name: | DR. ROBERT CHARLES JORDAN |
NPI Number: | 1558367433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., F.A.A.O.A. |
License Number: | 10476 |
Business Practice Address: | 208 E 2nd North St Summerville, SC - 294836858 |
Business Phone Number: | 8438736273 |
Business Fax Number: | 8438717111 |
Mailing Address: | Po Box 118008, N CHARLESTON |
State: | SC |
Postal Code: | 294238008 |
Phone Number: | 8438736273 |
Fax Number: | 8438717111 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 10476 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |