Individual
MS. JAMIE HAWKINS JOHNSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 527-9453
Mailing address
107 CLANCY CT, SIMPSONVILLE, SC 29681-1901
(864) 630-7017
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1602
SC
Other
Enumeration date
09/23/2006
Last updated
02/26/2008
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