Individual
JORDAN W RAWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 E HOSPITAL DR STE 200, WEST COLUMBIA, SC 29169-4800
(803) 936-7530
(803) 936-7532
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
84756
SC
207Y00000X
Otolaryngology Physician
Primary
85756
SC
207Y00000X
Otolaryngology Physician
BP10050654
TX
2086X0206X
Surgical Oncology Physician
85756
SC
Other
Enumeration date
05/19/2014
Last updated
11/11/2020
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