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Robert Jackson

NPI 1255247664 · on the registry since 2026 · sole proprietor

Practice

Address
1930 Apple Market Ct
West Columbia, SC 29170
Phone
(610) 368-9422

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-24

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