Individual provider · Type 1 NPI

Jordan Lane Foutch, MD

Pediatrics Physician · Charleston, SC

NPI number 1053846352 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-1405

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice locations

  • 910 Blackford St, Chattanooga, TN 37403-1405 · (423) 778-6101

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X66051 (TN)
Pediatrics Physician Primary 208000000X84704 (SC)
Pediatrics Physician 208000000X66051 (TN)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1053846352

Jordan Lane Foutch, MD's National Provider Identifier is 1053846352, issued on Apr 24, 2017. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Charleston, SC. The record was last updated on Nov 4, 2025.