Individual
MR. JONATHAN PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 SOUTHPORT RD STE J, SPARTANBURG, SC 29306-3814
(864) 704-5300
Mailing address
PO BOX 1731, SPARTANBURG, SC 29304-1731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9502
SC
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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