Search › South Carolina › 103TC1900X
Charles Jackson, PH.D
NPI 1851315766 · on the registry since 2006 · sole proprietor
Practice
- Address
- 210 University Plaza Dr
Conway, SC 29526 - Phone
- (843) 347-2550
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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