person
Jacob Coward
Pediatric Nurse Practitioner in Hartsville, South Carolina
NPI 1396939971

Jacob Coward is a Pediatric Nurse Practitioner based in Hartsville, SC and is specialized in Pediatrics. Jacob Coward practices in Hartsville, SC. The NPI Number for Jacob Coward is 1396939971 and holds a License No. 3317 (South Carolina).

The current practice location address for Jacob Coward is 518 E Carolina Ave Ste B, Hartsville, SC and can be reached out via phone at 843-383-4426 and via fax at 843-383-8509.

Location: 518 E Carolina Ave Ste B, Hartsville, SC, 29550-4312
person
Provider Profile Details
NPI Number
1396939971
Provider Name
Jacob Coward
Credential
Provider Entity Type
Individual
Gender
Male
Address
518 E Carolina Ave Ste B, Hartsville, SC, 29550-4312
Phone Number
843-383-4426
Fax Number
843-383-8509
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20066947 01 SC SELECT HEALTH
3317 01 SC SC LICENSE #
NP1148 05 SC
institution
Provider Business Practice Location Address Details
Address
518 E Carolina Ave Ste B
City
State
Zip
29550-4312
Phone Number
843-383-4426
Fax Number
843-383-8509
person
Provider Business Mailing Address Details
Address
518 E Carolina Ave Ste B
City
State
Zip
29550-4312
Phone Number
843-383-4426
Fax Number
843-383-8509
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
3317 (South Carolina)
Definition
Definition to come...
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