Individual
DR. JORDAN SAMUEL WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-4295
(859) 323-1691
(859) 323-1700
Mailing address
701 GROVE RD, 5TH FLOOR SUPPORT TOWER, GREENVILLE, SC 29605
(706) 970-9846
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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