Individual
JORDAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12307 HIGHWAY 707, MURRELLS INLET, SC 29576-9740
(843) 651-6776
Mailing address
4908 OAT FIELDS DR, MYRTLE BEACH, SC 29588-7968
(801) 471-8220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9095
SC
Other
Enumeration date
04/29/2017
Last updated
02/13/2024
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