Individual
JARED CORDELL DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 GROVE RD, GREENVILLE, SC 29605-4630
(864) 233-5128
Mailing address
1007 GROVE RD, GREENVILLE, SC 29605-4630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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