MR. Jordan Bolan is a student in an organized health care education training program in Columbia, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Jordan Bolan NPI is 1932577905. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1319 DOVER ST
COLUMBIA, SC
ZIP 29201-463
Phone: (585) 645-7824
The enumeration date for this NPI number is 9/9/2015 and was last updated on 9/9/2015.