Individual provider · Type 1 NPI
Antoine Jordan
Specialist · Irmo, SC
NPI number
1962850305
Active
Practice location
757 Saxony Dr
Irmo, SC 29063-7108
Mailing address
757 Saxony Drive
Irmo, SC 29063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Irmo
About NPI 1962850305
Antoine Jordan's National Provider Identifier is 1962850305, issued on May 26, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Irmo, SC. The record was last updated on May 26, 2016.