Individual provider · Type 1 NPI
Jasmine Bynes, MA1, PH1, NTI
Specialist · Swainsboro, GA
NPI number
1790449031
Active
Practice location
214 W Main St Ste 214A
Swainsboro, GA 30401-3150
Mailing address
1702 North St E
Vidalia, GA 30474-8721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | COI-002022 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1790449031
Jasmine Bynes, MA1, PH1, NTI's National Provider Identifier is 1790449031, issued on Oct 22, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Swainsboro, GA. The record was last updated on Oct 26, 2021.