Individual
QUARTELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
308 MAY OAK RD, COLUMBIA, SC 29229-9287
(803) 463-9014
Mailing address
308 MAY OAK RD, COLUMBIA, SC 29229-9287
(803) 463-9014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86477
SC
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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