Individual
JASON BARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-7141
Mailing address
2264 WEDGEFIELD RD, GEORGETOWN, SC 29440-6806
(843) 545-0874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4133
LICENSE #
SC
Enumeration date
08/25/2006
Last updated
07/08/2007
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