Search › South Carolina › 101YP2500X
Amanda Jordan
NPI 1083222327 · on the registry since 2020 · sole proprietor
Practice
- Address
- 112 Eston Dr
Goose Creek, SC 29445 - Phone
- (803) 899-5283
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina