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Individual

MRS. JORDAN LEIGH PRATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1220 PARKSIDE ACORN DR, INMAN, SC 29349-8344
(864) 516-1783
Mailing address
3981 SCOTLAND ST, COCOA, FL 32927-8419

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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