Individual
DR. JORDAN SAMUEL WOODARD
Active
Individual
DR. JORDAN SAMUEL WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59586
KY
207R00000X
Internal Medicine Physician
86272
SC
Other
Enumeration date
01/24/2021
Last updated
06/27/2024
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