| Jordan M Spencer, DO | |
| 
					171 Ashley Ave, Charleston, SC 29425-0100  | |
| (843) 792-0192 | |
| Not Available | 
| Full Name | Jordan M Spencer | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 171 Ashley Ave, Charleston, 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 | 
|---|---|---|---|
| 1851886782 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | LL52045 (South Carolina) | Secondary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52045 (South Carolina) | Primary | 
| Entity Name | Axis Healthcare Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20120919000403  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jordan M Spencer, DO 67 President St, Charleston, SC 29425-5712 Ph: () -  | Jordan M Spencer, DO 171 Ashley Ave, Charleston, SC 29425-0100 Ph: (843) 792-0192  | 
Christine Lloyd, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 198 Rutledge Ave, Charleston, SC 29403 Phone: 843-577-5012 Fax: 843-722-8368  | |
Robert Joseph Adams, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 Fax: 843-792-2484  | |
Kevin Michael Gray, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414  | |
Melanie Anne Lobel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414  | |
Billy Beck, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011  | |
Ciara Monet Styles, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-9888  | |
Alexandra Aven, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-9888  |