Individual
DR. ROBERT CHARLES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.O.A.
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 873-8732
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 873-8732
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104764
—
SC
Enumeration date
06/24/2005
Last updated
10/19/2016
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