Search › South Carolina › 163WH0500X
Victoria Jackson
NPI 1669057121 · on the registry since 2021 · sole proprietor
Practice
- Address
- 920 Laura St
Bowman, SC 29018 - Phone
- (803) 354-1011
Registry record
- Primary taxonomy
- 163WH0500X
163WH0500X
- Also registered as
- 163W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-16
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