Individual
JACQUELINE LAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 SHERIDAN PARK CIR STE C, BLUFFTON, SC 29910-7023
(843) 815-5628
Mailing address
27 OUTPOST LN, HILTON HEAD ISLAND, SC 29928-3821
(843) 816-2410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3795
SC
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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