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Dr. Dwayne Aubrey Jacobus, DPM
Primary Podiatric Medicine Podiatrist in Columbia, South Carolina
NPI 1295726172

Dwayne Aubrey Jacobus is a Primary Podiatric Medicine Podiatrist based in Columbia, SC and is specialized in Primary Podiatric Medicine. Dwayne Aubrey Jacobus practices in Columbia, SC and has the professional credentials of DPM. The NPI Number for Dwayne Aubrey Jacobus is 1295726172 and holds a License No. 565 (South Carolina).

The current practice location address for Dwayne Aubrey Jacobus is 3800 N Main St Ste B, Columbia, SC and can be reached out via phone at 803-705-3172 and via fax at 803-705-3173.

Location: 3800 N Main St Ste B, Columbia, SC, 29210-3825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295726172
Provider Name
Dwayne Aubrey Jacobus
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3800 N Main St Ste B, Columbia, SC, 29210-3825
Phone Number
803-705-3172
Fax Number
803-705-3173
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T14910A 01 TN MEDICARE TN
PD5658 05 SC
Q058390 05 TN
institution
Provider Business Practice Location Address Details
Address
3800 N Main St Ste B
City
Columbia
State
South Carolina
Zip
29203-6446
Phone Number
803-705-3172
Fax Number
803-705-3173
person
Provider Business Mailing Address Details
Address
3800 N Main St Ste B
City
Columbia
State
South Carolina
Zip
29203-6446
Phone Number
803-705-3172
Fax Number
803-705-3173
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
847 (Tennessee)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
847 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
565 (South Carolina)
Definition
Definition to come...
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