Individual
JEREMY C WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
4171 LEE JACKSON HWY STE 109, GREENVILLE, VA 24440-1772
(540) 900-2758
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205584
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192959
ANTHEM
VA
Enumeration date
07/30/2008
Last updated
12/31/2024
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