JEFFREY BOUKNIGHT

COLUMBIA, SC
NPI1295125086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: SC  116233E)
Enumeration Date2015-01-31
Last Update Date2015-01-31
Business Address
-- JEFFREY BOUKNIGHT
6439 GARNERS FERRY RD RECOVERY EAST BLDING 106
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
-- JEFFREY BOUKNIGHT
6439 GARNERS FERRY RD RECOVERY EAST BLDING 106
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000