SearchSouth Carolina225100000X

Matthew Jackson, DPT

NPI 1609122944 · on the registry since 2012

Practice

Address
9241 University Blvd
North Charleston, SC 29406
Phone
(843) 414-1140
Fax
(843) 553-2946
Organisation at this address
Orthotic & Prosthetic Centers, Inc.
Clemson Sports Medicine And Rehabilitation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-16

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