Smith, Jordan C

Smith, Jordan C is an individual health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Jordan C can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Fl 1 Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3664 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3664 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3880 South Carolina

Profile Details

NPI number 1962988410
LBN Legal business name Smith, Jordan C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2018
Last updated Sep 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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