SearchSouth Carolina224Z00000X

Jennifer Bothast

NPI 1396517256 · on the registry since 2023

Practice

Address
7143 Narrow Lane Rd
Smyrna, SC 29743
Phone
(904) 755-2900

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina