John N Jordan, MD | |
3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 | |
(843) 272-1411 | |
(843) 272-2130 |
Full Name | John N Jordan |
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Gender | Male |
Speciality | Internal Medicine |
Location | 3816 Highway 17 S, North Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205824042 | NPI | - | NPPES |
DB4083 | Other | SC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13156 (South Carolina) | Primary |
Entity Name | Medcare Express - North Charleston Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
Entity Name | Access Medical Management, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154415933 PECOS PAC ID: 6406924000 Enrollment ID: O20081009000411 |
Mailing Address | Practice Location Address |
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John N Jordan, MD 4728 Jenn Dr Ste 104, Myrtle Beach, SC 29577-5714 Ph: (843) 449-2272 | John N Jordan, MD 3816 Highway 17 S, North Myrtle Beach, SC 29582-5069 Ph: (843) 272-1411 |
Jonessa Ann Villanueva, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582 Phone: 843-366-2900 | |
Elma Denise Whidby, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582 Phone: 843-663-2100 Fax: 843-663-2102 | |
Kia Persaud, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582 Phone: 843-366-3060 Fax: 843-366-3069 | |
Michael D Holland, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Eastern Nephrology Associates Pllc, 2021 North Point Blvd Suite 106, North Myrtle Beach, SC 29582 Phone: 843-663-1401 Fax: 910-778-1433 |