Individual
JENNIFER ANN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCAT, ATC
Contact information
Practice address
1300 WHEAT STREET, COLUMBIA, SC 29208-0001
(240) 687-0620
Mailing address
112 SILO CT APT 422C, COLUMBIA, SC 29201-4978
(240) 687-0620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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