Individual
DR. PHILIP RUSSELL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2741 WHISKEY RD, AIKEN, SC 29803-6197
(803) 226-0217
(803) 226-0459
Mailing address
2741 WHISKEY RD, AIKEN, SC 29803-6197
(803) 226-0217
(803) 226-0459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3663
SC
Other
Enumeration date
10/03/2011
Last updated
05/14/2013
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