Jordann Leah Staples Valid NPI
Individual provider · Neurology with Special Qualifications in Child Neurology Physician · Columbia, SC
- NPI
- 1225590581
- Type
- Individual (Type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084N0402X
- License number
- 91401 (SC)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-04-04
- Last updated
- 2024-08-07
Practice location
9 Richland Medical Park Dr Ste 110
Columbia, SC 29203-6859
(803) 434-7961