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NPI Code Detail

MEDICARE: DR. SARAH M JORDAN DPM

MEDICARE:  DR. SARAH M JORDAN  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine Podiatrist541SC

General Provider Information

NPI Number : 1285623827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH M JORDAN DPM
Provider Business Mailing Address
First Line : 1399 JOHN B WHITE SR BLVD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29306-3911
Country : US
Telephone Number : 864-595-9300
Fax Number : 864-595-9400
Provider Business Practice Location Address
First Line : 1399 JOHN B WHITE SR BLVD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29306-3911
Country : US
Telephone Number : 864-595-9300
Fax Number : 864-595-9400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 07/08/2007

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Directions to “ DR. SARAH M JORDAN DPM” Practice Location

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