Search › South Carolina › 390200000X
Jordan Lane
NPI 1811443997 · on the registry since 2016 · sole proprietor
Practice
- Address
- 8747 Alexandria Dr
North Charleston, SC 29420 - Phone
- (843) 751-7449
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-29
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