Individual
JORDAN WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
6 BELLAGIO WAY, GREER, SC 29651-7542
(864) 680-2170
Mailing address
6 BELLAGIO WAY, GREER, SC 29651-7542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4968
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6293
—
SC
Enumeration date
06/21/2013
Last updated
12/03/2022
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