Emily Grace Jordan

NPI #1164112389 in Ladson, South Carolina

Provider Information

NPI Number: 1164112389
Entity Type: Individual
Name: Emily Grace Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 10, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 3601 LADSON RD
City: Ladson
State: South Carolina
ZIP Code: 29456-4304
Phone: (843) 285-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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