Individual
JADE WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
801 NEELY RD, ROCK HILL, SC 29730-4675
(704) 441-3859
Mailing address
16051 DOOLIN CT APT 206, CHARLOTTE, NC 28273-0177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4174
NC
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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