Individual
SAMUEL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-4111
Mailing address
104 DECKER DR, GREENWOOD, SC 29646-9469
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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