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Individual

MR. JACOB PIERCE FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
27 BARNWOOD CIR, GREENVILLE, SC 29607-5486
(864) 608-8881
Mailing address
PO BOX 25273, GREENVILLE, SC 29616-0273
(864) 608-8881

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2149
SC

Other

Enumeration date
09/16/2011
Last updated
09/16/2011
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