Individual
JORDAN C MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CES
Contact information
Practice address
316 BOULEVARD, ANDERSON, SC 29621-4002
(864) 958-1655
Mailing address
2826 LECONTE RD, ANDERSON, SC 29621-2904
(864) 958-1655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1788
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/26/2014
Last updated
11/20/2020
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