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Individual

DR. JOHN HOWARD NORDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-6371
(864) 227-6345
Mailing address
777 LOWNDES HILL RD BLDG 1, GREENVILLE, SC 29607-2101
(800) 967-2289

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19076
SC
207V00000X
Obstetrics & Gynecology Physician
G59021
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G590210
CA
05
GP4697
SC
01
P00785496
RAILROAD MEDICARE
CA
01
SC23143365
MEDICARE PIN
SC
Enumeration date
06/10/2006
Last updated
12/20/2023
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