Individual
CHARLES TIMOTHY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDRS
Contact information
Practice address
14 SUTTON PL, OAK HILL, WV 25901-2059
(304) 640-2818
Mailing address
14 SUTTON PL, OAK HILL, WV 25901-2059
(304) 640-2818
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
WV
Other
Enumeration date
01/15/2026
Last updated
04/10/2026
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