Individual
HEATH JACKSON MAJOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
703 CROUCH DR, PENDLETON, SC 29670-1513
(864) 617-0324
Mailing address
703 CROUCH DR, PENDLETON, SC 29670-1513
(864) 617-0324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1450
SC
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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