Individual
MRS. SANDRA KAY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., LDN
Contact information
Practice address
400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
(864) 260-5030
(864) 260-5074
Mailing address
303 W NORTH AVE, ANDERSON, SC 29625-2945
(864) 224-4280
(864) 260-5074
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
LD002421
GA
133V00000X
Registered Dietitian
Primary
R518238
SC
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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