Individual
MARY MARGARET JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-3072
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-3072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL84193
SC
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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