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Contact Information

JORDAN S WHATLEY, MD
2250 MALL DR
NORTH CHARLESTON, SC29406-6563
 Phone: 843-876-0444
 Fax: 310-206-0203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JORDAN S WHATLEY · (Male)

NPI # 1194139337
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2014
Last updated 09/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A148950
  • MI License # 4301105294
  • SC License # 84088
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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