Individual
JORDAN LEE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 LADSON RD STE 100, LADSON, SC 29456-4304
(843) 285-2500
Mailing address
838 MORRISON DR, CHARLESTON, SC 29403-4383
(214) 471-2919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
327746
LA
207RC0000X
Cardiovascular Disease Physician
Primary
92242
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/27/2018
Last updated
02/24/2026
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