Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 1923 | FL |
NPI | 1154743581 |
---|---|
Provider Name | Jody Guinn Mackay |
First Address | Spartanburg, SC 29302-4628 |
Second Address | Spartanburg, SC 29302-4628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2014 |
Last Update Date | 21/01/2014 |