Provider Demographics
NPI:1376723114
Name:ARTHUR E. JORDAN, MD, PC
Entity Type:Organization
Organization Name:ARTHUR E. JORDAN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD - OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:E
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-886-9888
Mailing Address - Street 1:457A BY PASS 123
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-0842
Mailing Address - Country:US
Mailing Address - Phone:864-886-9888
Mailing Address - Fax:
Practice Address - Street 1:457A BY PASS 123
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-0842
Practice Address - Country:US
Practice Address - Phone:864-886-9888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8003208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1326045642OtherINDIVIDUAL NPI
SC1326045642OtherINDIVIDUAL NPI