Individual
JORDAN M SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-0192
Mailing address
67 PRESIDENT ST, CHARLESTON, SC 29425-5712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL52045
SC
2084P0800X
Psychiatry Physician
Primary
52045
SC
Other
Enumeration date
06/23/2018
Last updated
03/21/2024
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