Search › South Carolina › 224Z00000X
Gwennetta Jackson, COTA
NPI 1316419443 · on the registry since 2018
Practice
- Address
- 700 Davega Dr
Lexington, SC 29073 - Phone
- (803) 796-8731
- Organisation at this address
- Presbyterian Communities Of South Carolina
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-31
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