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Search › South Carolina › 207Q00000X

Amy Jackson

NPI 1467019943 · on the registry since 2019

Practice

Address
1132 Spring St
Greenwood, SC 29646
Phone
(864) 725-1680
Fax
(864) 725-1683
Organisation at this address
Self Medical Group
Self Regional Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-25

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