JERRY SHADBOLT

SUMTER, SC
NPI1932192671
Professional NameJERRY SHADBOLT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  191)
Enumeration Date2005-08-29
Last Update Date2007-07-08
Business Address
Mr. JERRY SHADBOLT ATC
1215 ALICE DR
SUMTER, SC 29150-1905
Phone number: 803-778-5223
Mailing Address
Mr. JERRY SHADBOLT ATC
3145 TAMARAH WAY
SUMTER, SC 29154-9556
Phone number: 803-778-5223
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