Individual
CAITLIN ALTMAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
276 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2462
(843) 792-1414
Mailing address
PO BOX 23467, NEW YORK, NY 10087-3221
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3226
SC
Other
Enumeration date
08/15/2019
Last updated
01/20/2023
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