Individual
DR. LEE T JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 ROBERTS STREET, CAMDEN, SC 29020
(803) 254-3376
(803) 254-3883
Mailing address
1709 BARNWELL ST, COLUMBIA, SC 29201-2641
(803) 254-3376
(803) 254-3883
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7281
SC
Other
Enumeration date
12/28/2005
Last updated
10/19/2007
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