Individual
JEREMY MORRY EITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 COLLEGE STREET, ORANGEBURG, SC 29115
(803) 536-7000
Mailing address
1051 SOUTHERN DR UNIT 2503, COLUMBIA, SC 29201-5602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1603
SC
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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