Jag28 LLC
NPI #1801655832 in Rock Hill, South Carolina
Provider Information
- NPI Number
- 1801655832
- Entity Type
- Organization
- Organization Name
- Jag28 LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 13, 2024
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 420 HERLONG AVE S STE 104
- City
- Rock Hill
- State
- South Carolina
- ZIP Code
- 29732-1091
- Phone
- (839) 274-3013
Authorized Official
- Name
- JAMES JOSEPH GROVE
- Title
- PRESIDENT
- Phone
- (623) 670-0399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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