Individual
DR. CHRISTIAN WILLIAM JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1140 ROCKWOOD RD, COLUMBIA, SC 29209-1638
(856) 534-0586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC-1428
SC
Other
Enumeration date
06/25/2007
Last updated
04/24/2009
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