Individual
DR. JACOB ROBERTO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 HUGER DR, GEORGETOWN, SC 29440-3322
(843) 235-3131
(843) 237-9797
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024-00383
NC
207RC0000X
Cardiovascular Disease Physician
0101280647
VA
207RC0000X
Cardiovascular Disease Physician
Primary
2024-00383
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2024-00383
NC
208M00000X
Hospitalist Physician
2024-00383
NC
Other
Enumeration date
04/22/2012
Last updated
05/14/2026
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