Kimberly A Jackson

NPI 1740465277 - Counselor - 101Y00000X

NPI Details
NPI 1740465277
Gender Female
Enumeration Date 01/03/2008
Last Updated 01/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
164 WACCAMAW MEDICAL PARK DR
CONWAY SC, 29526-8903, US
Phone (843) 347-5060
Fax
Business Location
164 WACCAMAW MEDICAL PARK DR
CONWAY SC, 29526-8903, US
Phone (843) 347-5060
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Kimberly A Jackson NPI is 1740465277, taxonomy code is 101Y00000X Kimberly A Jackson physically located at 164 Waccamaw Medical Park Dr, Conway SC, 29526-8903. NPI Number Kimberly A Jackson has the Individual type.

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1740465277 NPI number is provided on an as is basis without warranty of any kind. 1740465277 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Jackson are for informational purposes only.