Organization
THE CLINICIANS CLINIC AT THE VEIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOVELLA JACKSON (CEO)
(803) 878-2478
Entity
Organization
Contact information
Practice address
968 DANTZLER ST, ORANGEBURG, SC 29115-4322
(803) 809-0003
(803) 809-0004
Mailing address
968 DANTZLER ST, ORANGEBURG, SC 29115-4322
(803) 809-0003
(844) 375-1125
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
04/06/2026
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