Individual
JACQUELINE GRACE TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 816-1953
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 816-1953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
94996
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2023
Last updated
06/30/2025
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