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Search › South Carolina › 183500000X

Mary Jackson

NPI 1447704333 · on the registry since 2016

Practice

Address
141 Dorman Centre Dr
Spartanburg, SC 29301
Phone
(864) 574-1985
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-08

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