Individual
DR. MICHAEL J JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1399 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306-3911
(864) 595-9300
(864) 595-9400
Mailing address
1399 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306-3911
(864) 595-9300
(864) 595-9400
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
525
SC
213ES0131X
Foot Surgery Podiatrist
525
SC
Other
Enumeration date
10/17/2005
Last updated
10/29/2013
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