person
Jacob Keaton Goforth
Student in an Organized Health Care Education/Training Program in West Columbia, South Carolina
NPI 1689360737

Jacob Keaton Goforth is a Student in an Organized Health Care Education/Training Program based in West Columbia, SC. Jacob Keaton Goforth practices in West Columbia, SC. The NPI Number for Jacob Keaton Goforth is 1689360737 and holds a License No. (South Carolina).

The current practice location address for Jacob Keaton Goforth is 145 Sunset Ct Ste 100, West Columbia, SC and can be reached out via phone at 803-739-3550 and via fax at 803-739-3546. You can also correspond with Jacob Keaton Goforth through the mailing address at 145 SUNSET CT STE 100, WEST COLUMBIA, SC - 29169-2429 (mailing address contact number: 803-739-3550).

Location: 145 Sunset Ct Ste 100, West Columbia, SC, 29169-2429
person
Provider Profile Details
NPI Number
1689360737
Provider Name
Jacob Keaton Goforth
Credential
Provider Entity Type
Individual
Gender
Male
Address
145 Sunset Ct Ste 100, West Columbia, SC, 29169-2429
Phone Number
803-739-3550
Fax Number
803-739-3546
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
145 Sunset Ct Ste 100
City
State
Zip
29169-2429
Phone Number
803-739-3550
Fax Number
803-739-3546
person
Provider Business Mailing Address Details
Address
145 Sunset Ct Ste 100
City
State
Zip
29169-2429
Phone Number
803-739-3550
Fax Number
803-739-3546
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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