Individual
DR. CARRIE BLACKMAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1220 CHESTERFIELD HWY, CHERAW, SC 29520-7014
(843) 537-4368
(843) 537-4368
Mailing address
1220 CHESTERFIELD HWY, CHERAW, SC 29520-7014
(843) 537-4368
(843) 537-4368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4316
SC
Other
Enumeration date
07/14/2007
Last updated
07/14/2007
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