Individual
JESSE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
2463 AUGUSTA HWY, LEXINGTON, SC 29072-2215
(803) 821-3438
Mailing address
2463 AUGUSTA HWY, LEXINGTON, SC 29072-2215
(803) 821-3438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1432
SC
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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