Individual
ARTHUR E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 404-3094
(864) 242-6517
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 546-4497
(864) 546-4506
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
8003
SC
208VP0014X
Interventional Pain Medicine Physician
8003
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080030
—
SC
01
—
187649
MEDCOST
SC
01
—
201138864
BCBS OF SC
SC
01
—
606006100
DEPT. OF LABOR
SC
05
—
7905930
—
NC
05
—
89016NG
—
NC
01
—
DB9785
RR MEDICARE
SC
05
—
GP3980
—
SC
01
—
P00326713
RR MEDICARE
SC
01
—
SC05186089
MEDICARE PTAN
SC
Enumeration date
07/01/2005
Last updated
02/20/2017
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