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Contact Information

ROBERT C JORDAN, M.D., F.A.A.O.A.
2295 HENRY TECKLENBURG DR
CHARLESTON, SC29414-7801
 Phone: 843-766-7103
 Fax: 843-873-8732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ROBERT C JORDAN · (Male)

NPI # 1558367433
Status Active
Credentials M.D., F.A.A.O.A.
Entity Individual
Enumeration date 06/24/2005
Last updated 10/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 10476
  • SC Medicaid 104764
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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