person
Richard Albert Jacob, PA-C
Surgical Physician Assistant in West Columbia, South Carolina
NPI 1720530934

Richard Albert Jacob is a Surgical Physician Assistant based in West Columbia, SC and is specialized in Surgical. Richard Albert Jacob practices in West Columbia, SC and has the professional credentials of PA-C. The NPI Number for Richard Albert Jacob is 1720530934 and holds a License No. 2671 (South Carolina).

The current practice location address for Richard Albert Jacob is 2728 Sunset Blvd Ste 400, West Columbia, SC and can be reached out via phone at 803-936-7095 and via fax at 803-936-7908.

Location: 2728 Sunset Blvd Ste 400, West Columbia, SC, 29171-6069
person
Provider Profile Details
NPI Number
1720530934
Provider Name
Richard Albert Jacob
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2728 Sunset Blvd Ste 400, West Columbia, SC, 29171-6069
Phone Number
803-936-7095
Fax Number
803-936-7908
Provider Enumeration Date
11/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2728 Sunset Blvd Ste 400
City
State
Zip
29169-4839
Phone Number
803-936-7095
Fax Number
803-936-7908
person
Provider Business Mailing Address Details
Address
2728 Sunset Blvd Ste 400
City
State
Zip
29169-4839
Phone Number
803-936-7095
Fax Number
803-936-7908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2671 (South Carolina)
Definition
Definition to come...
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