Jessica Foxworth, ATC
NPI #1932645686 in Conway, South Carolina
Provider Information
- NPI Number
- 1932645686
- Entity Type
- Individual
- Name
- Jessica Foxworth, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 18, 2017
- Last Updated
- Jan 18, 2017
Practice Location
- Address
- 220 VINEYARD LAKE CIR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29527-7878
- Phone
- (843) 845-2410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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