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Jackson Moorefield
Student in an Organized Health Care Education/Training Program in Greenville, South Carolina
NPI 1740031756

Jackson Moorefield is a Student in an Organized Health Care Education/Training Program based in Greenville, SC. Jackson Moorefield practices in Greenville, SC. The NPI Number for Jackson Moorefield is 1740031756 and holds a License No. (South Carolina).

The current practice location address for Jackson Moorefield is 13 Edgewood Dr, Greenville, SC and can be reached out via phone at 864-455-7861.

Location: 13 Edgewood Dr, Greenville, SC, 29605-4235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740031756
Provider Name
Jackson Moorefield
Credential
Provider Entity Type
Individual
Gender
Male
Address
13 Edgewood Dr, Greenville, SC, 29605-4235
Phone Number
864-455-7861
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
13 Edgewood Dr
City
Greenville
State
South Carolina
Zip
29605-4235
Phone Number
864-455-7861
Fax Number
person
Provider Business Mailing Address Details
Address
13 Edgewood Dr
City
Greenville
State
South Carolina
Zip
29605-4235
Phone Number
864-455-7861
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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