Individual
JORDAN HAIRR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.2192 TL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1997PA
—
SC
Enumeration date
09/22/2014
Last updated
02/13/2015
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