Jordan Lane Foutch
Pediatrics | Male
Jordan Lane Foutch is a Charleston, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jordan Lane Foutch is
171 Ashley Ave, Charleston, South Carolina - 29425-1405. He can be contacted on phone at
843-792-1414.
Jordan Lane Foutch is a sole proprietor of his business.
NPI number (Unique professional ID) for Jordan Lane Foutch is
1053846352 which was assigned by NPPES on 24 Apr, 2017 and it was last updated on 19 Apr, 2021.
Jordan Lane Foutch license number is
84704 for Pediatrics (208000000X) in South Carolina.
Jordan Lane Foutch is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jordan Lane Foutch basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jordan Lane Foutch |
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| Gender : | Male |
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Business Address:
Jordan Lane Foutch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-1405
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053846352 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Apr, 2017 |
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| Last Updated On : | 19 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Lane Foutch are as mentioned. Primary taxonomy code for Jordan Lane Foutch is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 84704 | SC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Jordan Lane Foutch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.