Whalio Doctors

NPI 1912225004

Jarrod Chevalier Fritz, LMT

Practitioner Community Health Worker Charleston, SC

Practice location

Address
1064 Gardner Rd STE 313, Charleston, SC 29407-5768
Phone
(843) 813-1200
Fax
(843) 852-9949
Mailing address
1064 Gardner Rd. STE 313, Charleston, SC 29407

Registered specialties (2)

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 20-4692852 (SC)
Community Health Worker
Other Service Providers Taxonomy 172V00000X Licence 3692 (SC)

Registry record

NPI
1912225004
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 May 2010
Record last updated
13 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.