Individual
MR. LARRY RANDOLPH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
615 RAPIDS RD, COLUMBIA, SC 29212-3024
(803) 798-2211
Mailing address
615 RAPIDS RD, COLUMBIA, SC 29212-3024
(803) 798-2211
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
56879
SC
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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