Individual
JORDAN ARTHUR DEAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 OMNI DRIVE, SENECA, SC 29672-9448
(864) 888-4222
(864) 888-0023
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102524
—
SC
05
—
GP4697
—
SC
Enumeration date
08/09/2005
Last updated
05/19/2016
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