Search › South Carolina › 363LF0000X
Jordan Connelly
NPI 1245832328 · on the registry since 2020
Practice
- Address
- 631 Johnnie Dodds Blvd
Mount Pleasant, SC 29464 - Phone
- (843) 881-0815
- Clinicians at this address
- 6
Additional practice sites
- 12105 W Alameda Pkwy Ste 100, Lakewood, CO
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- CO, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina