SearchSouth Carolina1744P3200X

Myia Jackson

NPI 1760351050 · on the registry since 2025 · sole proprietor

Practice

Address
134 Adams Terrace Ct
West Columbia, SC 29172
Phone
(803) 397-1231

Registry record

Primary taxonomy
1744P3200X
1744P3200X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-04

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