Individual
ARTHUR E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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