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Jon R Jacobs
Specialist in North Charleston, South Carolina
NPI 1093989006

Jon R Jacobs is a Specialist based in North Charleston, SC. Jon R Jacobs practices in North Charleston, SC. The NPI Number for Jon R Jacobs is 1093989006 and holds a License No. 199702336 (South Carolina).

The current practice location address for Jon R Jacobs is 9213 University Blvd Ste D, North Charleston, SC and can be reached out via phone at 843-797-6564 and via fax at 843-572-9165.

Location: 9213 University Blvd Ste D, North Charleston, SC, 29406-9145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093989006
Provider Name
Jon R Jacobs
Credential
Provider Entity Type
Organization
Address
9213 University Blvd Ste D, North Charleston, SC, 29406-9145
Phone Number
843-797-6564
Fax Number
843-572-9165
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C611963397 01 SC MEDICARE
1568535953 01 SC NPI- SINGLE PROVIDER
113004 05 SC
institution
Provider Business Practice Location Address Details
Address
9213 University Blvd Ste D
City
North Charleston
State
South Carolina
Zip
29406-9145
Phone Number
843-797-6564
Fax Number
843-572-9165
person
Provider Business Mailing Address Details
Address
9213 University Blvd Ste D
City
North Charleston
State
South Carolina
Zip
29406-9145
Phone Number
843-797-6564
Fax Number
843-572-9165
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
199702336 (South Carolina)
Definition
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.
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