Individual
JORDAN RONNIE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
126 DILLON DR., SPARTANBURG, SC 29307-1018
(864) 327-1212
(864) 327-1211
Mailing address
126 DILLON DR., SPARTANBURG, SC 29307-1018
(864) 327-1212
(864) 327-1211
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5300PA
SC
363A00000X
Physician Assistant
5099
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6502PA
—
SC
Enumeration date
07/31/2023
Last updated
03/05/2025
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