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David Jackson Jr., PTA
NPI 1104098904 · on the registry since 2008
Practice
- Address
- 258 N Ron Mcnair Blvd
Lake City, SC 29560 - Phone
- (843) 374-6198
- Fax
- (843) 374-6180
- Organisation at this address
- Mckenzie Anesthesia Care Llc
Lower Florence County Hospital
Lower Florence County Hospital
Lower Florence County Hospital
Mid-Carolina Hospital Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina