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Contact Information

CAITLIN A JORDAN, PA-C
276 N RON MCNAIR BLVD
LAKE CITY, SC29560-2462
 Phone: 843-792-1414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAITLIN A JORDAN · (Female)

NPI Number 1831745710
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/15/2019
Last updated 01/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 3226
Hospital affiliation(s)
  • CAROLINAS HOSPITAL SYSTEM - (Acute Care)
    805 PAMPLICO HWY BOX 100550
    FLORENCE, SC 29505
  • MCLEOD REGIONAL MEDICAL CENTER-PEE DEE - (Acute Care)
    555 E CHEVES ST BOX 8700
    FLORENCE, SC 29506
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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