| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |