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Organization
CECIL BRYAN JORDAN II
Active
Organization
CECIL BRYAN JORDAN II
Active
Other names
family medicine center
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL BRYAN JORDAN II MD (OWNER)
(843) 563-2484
Entity
Organization
Contact information
Practice address
109 DUKES ST, SAINT GEORGE, SC 29477-2501
(843) 563-2484
Mailing address
109 DUKES ST, SAINT GEORGE, SC 29477-2501
(843) 563-2484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11810
SC
Other
Enumeration date
12/09/2007
Last updated
11/14/2011
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