Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4828 | SC |
NPI | 1033861075 |
---|---|
Provider Name | Jessica Kimberlyn Pritchett |
First Address | Surfside Beach, SC 29575-4160 |
Second Address | Murrells Inlet, SC 29576-6622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2022 |
Last Update Date | 20/01/2022 |