Individual
MR. JASON ALLEN KEESEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4900 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7221
(843) 293-2513
(843) 293-9059
Mailing address
729 HAWTHORN DR, PAWLEYS ISLAND, SC 29585-8008
(843) 235-2930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
221
SC
Other
Enumeration date
11/15/2005
Last updated
05/22/2017
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