Jordan, Harry A

Jordan, Harry A is an individual health care provider with primary practice located at 1295 Wilson Hall Rd , Sumter SC 29150-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, Harry A can be contacted via phone (803) 905-6800.

Contact Information

Primary practice address
1295 Wilson Hall Rd Sumter SC 29150-1804
Phone: (803) 905-6800
Fax: (803) 905-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15718 South Carolina

Profile Details

NPI number 1124064738
LBN Legal business name Jordan, Harry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 3rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124064738 NPPES
South Carolina MEDICAID GP2526

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