IndividualActive
Antoine Jordan
NPI 1962850305 · Specialist · Irmo, SC
Provider details
- NPI number
- 1962850305
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
757 Saxony Dr
Irmo, SC 29063-7108
Phone: (803) 445-3396
Approximate (ZIP-level) locationGet directions
Mailing address
757 Saxony Drive
Irmo, SC 29063
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2016-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.