Individual
JERRIA SWINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N HIGHWAY 52, MONCKS CORNER, SC 29461-3914
(843) 998-1225
Mailing address
410 COAXUM RD, MONCKS CORNER, SC 29461-3817
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
88588
SC
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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