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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACK ALIBERT LEGRAND JR.

Active

MR. JACK ALIBERT LEGRAND JR. is a Health Educator healthcare provider located in PROSPERITY, South Carolina. NPI 1982105243 is currently active in the NPPES registry. Verify at CMS.

Health Educator · PROSPERITY, SC

Registration Details

NPI Number
1982105243
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2018 (8.484664735521 yrs)
Last Updated
Feb 22, 2018

Practice Information

Address
600 N WHEELER AVE
PROSPERITY, SC, 291279332
Browse SC providers · Browse ZIP 29127
Phone
8033644852
Primary Specialty
Health Educator
174H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.