Search › South Carolina › 183500000X
Justin Jennings
NPI 1619378478 · on the registry since 2014
Practice
- Address
- 3027 Wade Hampton Blvd
Taylors, SC 29687 - Phone
- (864) 292-2014
- Fax
- (864) 292-8992
- Organisation at this address
- National Vision, Inc.
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-19
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