Individual
JEFFREY LANIER SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
227 S PENDLETON ST, STE B, EASLEY, SC 29640-3047
(864) 855-7030
(864) 855-7019
Mailing address
227 S PENDLETON ST, STE B, EASLEY, SC 29640-3047
(864) 855-7030
(864) 855-7019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5178
SC
225100000X
Physical Therapist
PT 007458
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726617849A
—
GA
Enumeration date
08/01/2006
Last updated
03/28/2011
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