Individual
CHARLES M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 E CHEVES ST, FLORENCE, SC 29506-2604
(843) 777-7601
(843) 662-2474
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7132
(843) 777-4487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5701
SC
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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