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Dr. Jacob Kozacki, DO
Student in an Organized Health Care Education/Training Program in Florence, South Carolina
NPI 1396205878

Jacob Kozacki is a Student in an Organized Health Care Education/Training Program based in Florence, SC. Jacob Kozacki practices in Florence, SC and has the professional credentials of DO. The NPI Number for Jacob Kozacki is 1396205878 and holds a License No. (South Carolina).

The current practice location address for Jacob Kozacki is 555 E Cheves St, Florence, SC and can be reached out via phone at 843-777-2800.

Location: 555 E Cheves St, Florence, SC, 29506-2617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396205878
Provider Name
Jacob Kozacki
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
555 E Cheves St, Florence, SC, 29506-2617
Phone Number
843-777-2800
Fax Number
Provider Enumeration Date
03/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 E Cheves St
City
Florence
State
South Carolina
Zip
29506-2617
Phone Number
843-777-2800
Fax Number
person
Provider Business Mailing Address Details
Address
555 E Cheves St
City
Florence
State
South Carolina
Zip
29506-2617
Phone Number
843-777-2800
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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