Individual
SETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
(844) 828-7365
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25222
SC
363L00000X
Nurse Practitioner
GAA-NP000484
GA
Other
Enumeration date
11/20/2021
Last updated
02/17/2023
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