Individual
MR. JIMMY DALE BINION JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5456 FOXWOOD DR NE, RIEGELWOOD, NC 28456-9303
(910) 742-5096
Mailing address
5456 FOXWOOD DR NE, RIEGELWOOD, NC 28456-9303
(910) 742-5096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13079
NC
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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