Individual
MR. JONATHAN MICHAEL ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 722-0335
(864) 233-7844
Mailing address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 722-0335
(864) 233-7844
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4689
SC
225100000X
Physical Therapist
Primary
4689
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3352
—
SC
Enumeration date
11/21/2006
Last updated
07/27/2016
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