MR. Jerry Shadbolt, ATC
NPI #1932192671 in Sumter, South Carolina
Provider Information
- NPI Number
- 1932192671
- Entity Type
- Individual
- Name
- MR. Jerry Shadbolt, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Aug 29, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1215 ALICE DR
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1905
- Phone
- (803) 778-5223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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