Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTOINE JORDAN
Active Sole ProprietorANTOINE JORDAN is a Specialist healthcare provider located in IRMO, South Carolina. NPI 1962850305 is currently active in the NPPES registry. Verify at CMS.
Specialist · IRMO, SC
Registration Details
- NPI Number
- 1962850305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2016 (10.243178470191 yrs)
- Last Updated
- May 26, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
757 SAXONY DRIRMO, SC, 290637108Browse SC providers · Browse ZIP 29063
- Phone
- 8034453396
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in IRMO, SC
| Name | Credential | NPI |
|---|---|---|
| DR. MARC S TODD | MD | 1508880568 |
| DAVID L KULBERSH | M.D | 1194839969 |
| FREDRICK SUTTON | — | 1043389844 |
| MR. CEDRIC MICHAEL LUCKEY | OTR/L | 1972930071 |
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.