Individual
PATRICK MICHAEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 GREENWOOD DR, SUITE C, HILTON HEAD, SC 29928-4538
(843) 341-3232
(843) 341-3234
Mailing address
PO BOX 3406, BLUFFTON, SC 29910-3406
(843) 341-3232
(843) 341-3234
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14780
SC
207Q00000X
Family Medicine Physician
14780
SC
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147807
—
SC
Enumeration date
05/06/2006
Last updated
04/29/2025
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