Individual
MR. ARTHUR SMALL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.A.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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