John N Jordan in Myrtle Beach - Internal Medicine
John N Jordan - NPI 1205824042
John N Jordan is a Internal Medicine in Myrtle Beach, South Carolina. John N Jordan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John N Jordan is 1205824042. The last update date is 2019-05-09.
John N Jordan's current location address is 4728 Jenn Dr Ste 104, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434492272 and fax number 8432365088. The mailing address for John N Jordan is 4728 Jenn Dr Ste 104, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John N Jordan |
|---|---|
| Address | 4728 Jenn Dr Ste 104, Myrtle Beach, South Carolina |
| Phone Number | 8434492272 |
| Fax Number | 8432365088 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205824042 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2019-05-09 |
Provider Mailing Address Detail
| Address | 4728 Jenn Dr Ste 104 |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295775714 |
| Phone Number | 8434492272 |
| Fax Number | 8432365088 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 13156 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DB4083 | SC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the John N Jordan's unique identification number?
The John N Jordan has been assigned the NPI (National Provider Identifier) Number 1205824042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where John N Jordan's facilities are situated?
The facilities of John N Jordan are physically located at the following address: 4728 Jenn Dr Ste 104, Myrtle Beach, SC, 295775714.
What is John N Jordan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John N Jordan is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205824042 to John N Jordan?
The Centers for Medicare & Medicaid Services originally issued the 1205824042 to John N Jordan on 2005-10-06.
When was the information regarding John N Jordan most recently updated?
The details pertaining to the John N Jordan, including its address, specialty, and other relevant information, were last refreshed on 2019-05-09.