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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