Individual
JONATHAN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 FOXRIDGE RUN, LEXINGTON, SC 29072
(803) 542-4169
Mailing address
145 FOXRIDGE RUN, LEXINGTON, SC 29072-7811
(803) 542-4169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC346109
SC
Other
Enumeration date
09/09/2015
Last updated
08/16/2018
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