IndividualActive
Michael Jordan, DPM
NPI 1295724839 · Primary Podiatric Medicine Podiatrist · Spartanburg, SC
Provider details
- NPI number
- 1295724839
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 525 (SC)
Practice location
1399 John B White Sr Blvd
Spartanburg, SC 29306-3911
Phone: (864) 595-9300
Fax: (864) 595-9400
Mailing address
1399 John B White Sr Blvd
Spartanburg, SC 29306-3911
Registry dates
- Enumerated
- 2005-10-17
- Last updated
- 2013-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.