Individual
ASHLEY ROSE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1163 LAKESIDE DR, UNION, SC 29379-9676
(864) 429-1765
(864) 429-1765
Mailing address
1135 SARDIS RD, UNION, SC 29379-8722
(864) 423-2237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
847
SC
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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