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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JORDAN BOLAN

Active Sole Proprietor

MR. JORDAN BOLAN is a Student (Health Education/Training) healthcare provider located in COLUMBIA, South Carolina. NPI 1932577905 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · COLUMBIA, SC

Registration Details

NPI Number
1932577905
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2015 (10.894559315249 yrs)
Last Updated
Sep 9, 2015
Sole Proprietor
Yes

Practice Information

Address
1319 DOVER ST
COLUMBIA, SC, 292014463
Browse SC providers · Browse ZIP 29201
Phone
5856457824
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in COLUMBIA, SC

Name Credential NPI
MR. CARLOS AGUSTIN ANRRICH RN 1891810115
DR. ADA KATHLEEN SKINNER MD 1184842239
JANETTA DELORES CROWSON 1881880383
RUTH ANN MORALES 1205013943
KAYCE DOUGLAS HUFFSTETLER 1144473646
MISS STACY ELIZABETH AYERS B.A 1235373341
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.