MR. Jack Alibert Legrand JR.
NPI #1982105243 in Prosperity, South Carolina
Provider Information
- NPI Number
- 1982105243
- Entity Type
- Individual
- Name
- MR. Jack Alibert Legrand JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Health Educator
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Feb 22, 2018
Practice Location
- Address
- 600 N WHEELER AVE
- City
- Prosperity
- State
- South Carolina
- ZIP Code
- 29127-9332
- Phone
- (803) 364-4852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Educator |
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