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Individual

ARICA JORDAN GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 DOUGHTY ST STE 520, CHARLESTON, SC 29403-5784
(843) 792-0435
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-0435

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL89871
SC
208000000X
Pediatrics Physician
LL89871
SC

Other

Enumeration date
05/31/2023
Last updated
06/06/2023
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