Individual
JASON HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2165 REYNOLDS RIDGE LN APT 307, FORT MILL, SC 29708-2103
(803) 804-2622
Mailing address
2165 REYNOLDS RIDGE LN APT 307, FORT MILL, SC 29708-2103
(803) 558-9924
Taxonomy
Speciality
Code
Description
License number
State
146E00000X
Community Paramedic
Primary
991
SC
146L00000X
Paramedic
SC007262
SC
Other
Enumeration date
07/02/2026
Last updated
07/29/2026
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