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Michaela L Jackson, ATC
Student in an Organized Health Care Education/Training Program in Clinton, South Carolina
NPI 1154873057

Michaela L Jackson is a Student in an Organized Health Care Education/Training Program based in Conyers, SC. Michaela L Jackson practices in Clinton, SC and has the professional credentials of ATC. The NPI Number for Michaela L Jackson is 1154873057 and holds a License No. (South Carolina).

The current practice location address for Michaela L Jackson is 105 Ashland Ave, Clinton, SC and can be reached out via phone at 864-833-7098.

Location: 105 Ashland Ave, Clinton, SC, 30094-3951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154873057
Provider Name
Michaela L Jackson
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
105 Ashland Ave, Clinton, SC, 30094-3951
Phone Number
864-833-7098
Fax Number
Provider Enumeration Date
10/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Ashland Ave
City
Clinton
State
South Carolina
Zip
29325-2960
Phone Number
864-833-7098
Fax Number
person
Provider Business Mailing Address Details
Address
105 Ashland Ave
City
Clinton
State
South Carolina
Zip
29325-2960
Phone Number
864-833-7098
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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