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Jacquelyn Maxwell
NPI 1891252847 · on the registry since 2019 · sole proprietor
Practice
- Address
- 65 Palmetto Wood Pkwy
Irmo, SC 29063 - Phone
- (352) 262-3686
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-17
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