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Organization
AIKEN PHYSICAL MEDICINE AND REHABILITATION LLC
Active
Organization
AIKEN PHYSICAL MEDICINE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP R JORDAN D.C. (OWNER/CHIROPRACTOR)
(803) 226-0217
Entity
Organization
Contact information
Practice address
2741 WHISKEY RD, AIKEN, SC 29803-6197
(803) 226-0217
(803) 226-0459
Mailing address
2741 WHISKEY RD, AIKEN, SC 29803-6197
(803) 226-0217
(803) 226-0459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3663
SC
163WW0101X
Ambulatory Women's Health Care Registered Nurse
17794
SC
207QA0505X
Adult Medicine Physician
Primary
000695
SC
Other
Enumeration date
04/03/2013
Last updated
05/03/2013
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