Individual
FRITZ MORGAN JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.B.T
Contact information
Practice address
16 E LEWIS PLZ, GREENVILLE, SC 29605-2942
(864) 370-3325
Mailing address
50 CLARK RD, TAYLORS, SC 29687-5927
(864) 320-7842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3437
SC
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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