Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAYSON JORDAN
ActiveGRAYSON JORDAN is a Family Medicine healthcare provider located in HONEA PATH, South Carolina. NPI 1578913976 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HONEA PATH, SC
Registration Details
- NPI Number
- 1578913976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2016 (10.16135584203 yrs)
- Last Updated
- Jan 5, 2023
- Licenses
-
LL39787 (SC)39787 (SC)
Practice Information
- Address
-
21 S SHIRLEY AVEHONEA PATH, SC, 296541503Browse SC providers · Browse ZIP 29654
- Phone
- 8645127879
- Fax
- 8645127037
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in HONEA PATH, SC
| Name | Credential | NPI |
|---|---|---|
| MARION KENT JENKINS | MD | 1316988975 |
| JAMES ADAM SMITH | MD | 1033150222 |
| DR. WILLIAM GARY VINCENT FARKAS | DO | 1366798563 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.