Individual
REBECCA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 577-7500
(864) 577-7621
Mailing address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 577-7500
(864) 577-7621
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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