Search › South Carolina › 1223G0001X
Philip Jackson, D.M.D
NPI 1790963916 · on the registry since 2008
Practice
- Address
- 857 Shore View Dr
Columbia, SC 29212 - Phone
- (803) 609-5216
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-30
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