Individual
MR. JEREMY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2515 EVANS ST, NEWBERRY, SC 29108-2939
(803) 276-7370
(803) 276-7369
Mailing address
115 PETTUS LN, NEWBERRY, SC 29108
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5216
SC
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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