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Organization
JG CONSULTANT CORP LLC
Active
Organization
JG CONSULTANT CORP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA GLINCMAN (OWNER)
(843) 972-8036
Entity
Organization
Contact information
Practice address
997 JOHNNIE DODDS BLVD, SUITE 125, MOUNT PLEASANT, SC 29464-6100
(184) 397-8036
Mailing address
997 JOHNNIE DODDS BLVD, SUITE 125, MOUNT PLEASANT, SC 29464-6100
(184) 397-8036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
102153369
SC
347C00000X
Private Vehicle
102153369
SC
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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