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Search › South Carolina › 363LF0000X

Jade Pack

NPI 1992511216 · on the registry since 2024

Practice

Address
107 Sunset Dr
Manning, SC 29102
Phone
(803) 435-4447
Organisation at this address
Carolina Family Practice
Clarendon Health And Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-03

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