NPI 1003186404
Jordan Brown Oates
Practice location
- Address
- 379 Pinehaven Street Ext, Laurens, SC 29360-2672
- Phone
- (864) 984-6584
- Fax
- (864) 984-6464
- Mailing address
- 109 Hudders Creek Way, Simpsonville, SC 29680-3543
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1003186404
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jan 2012
- Record last updated
- 9 May 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.