NPI 1154958452 · live from the CMS NPI Registry
Jordan Thomas Allen
Emergency Medicine in Greenville, SC. National Provider Identifier 1154958452, active.
NPI record
| NPI | 1154958452 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 701 Grove Rd Fl 1, Greenville, SC 29605 |
| Practice phone | 864-455-7899 |
| Mailing address | 300 E Mcbee Ave Fl 4, Greenville, SC 29601 |
| Enumerated | March 25, 2020 |
| Last updated | July 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine primary | 207P00000X | 87702 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.