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Dr. Emanuel Jackson
Student in an Organized Health Care Education/Training Program in Greenville, South Carolina
NPI 1093399115

Emanuel Jackson is a Student in an Organized Health Care Education/Training Program based in Greenville, SC. Emanuel Jackson practices in Greenville, SC. The NPI Number for Emanuel Jackson is 1093399115 and holds a License No. (South Carolina).

The current practice location address for Emanuel Jackson is 701 Grove Road, Greenville, SC and can be reached out via phone at 864-455-5198.

Location: 701 Grove Road, Greenville, SC, 29605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093399115
Provider Name
Emanuel Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 Grove Road, Greenville, SC, 29605
Phone Number
864-455-5198
Fax Number
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Grove Road
City
Greenville
State
South Carolina
Zip
29605
Phone Number
864-455-5198
Fax Number
person
Provider Business Mailing Address Details
Address
701 Grove Road
City
Greenville
State
South Carolina
Zip
29605
Phone Number
864-455-5198
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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