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1326045642

NPI Code Detail

MEDICARE: ARTHUR E JORDAN M.D.

MEDICARE: ARTHUR E JORDAN M.D.

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
1	208VP0014X	Interventional Pain Medicine Physician	8003	SC
2	2084N0400X	Neurology Physician	8003	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SC05186089	OTHER	SC	MEDICARE PTAN
3	P00326713	OTHER	SC	RR MEDICARE
8	DB9785	OTHER	SC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	187649	OTHER	SC	MEDCOST
6	606006100	OTHER	SC	DEPT. OF LABOR
7	201138864	OTHER	SC	BCBS OF SC
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326045642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR E JORDAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 484
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29641-0484
Country	:	US
Telephone Number	:	864-546-4497
Fax Number	:	864-546-4506

Provider Business Practice Location Address
First Line	:	1005 GROVE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4630
Country	:	US
Telephone Number	:	864-404-3094
Fax Number	:	864-242-6517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	02/20/2017

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Directions to “ ARTHUR E JORDAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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