KEVIN JAY HEROD

COLUMBIA, SC
NPI1679908339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2013-09-12
Last Update Date2013-09-12
Business Address
-- KEVIN JAY HEROD ATC
2 MEDICAL PARK RD STE 404
COLUMBIA, SC 29203-6875
Phone number: 803-434-8288
Mailing Address
-- KEVIN JAY HEROD ATC
2 MEDICAL PARK RD STE 404
COLUMBIA, SC 29203-6875
Phone number: 803-434-8288
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