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Individual

EDWARD JOSEPH JAKUBS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
470 HULON LN, WEST COLUMBIA, SC 29169-4841
(803) 936-3300
(803) 936-7735

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
27836
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278363
SC
Enumeration date
03/20/2006
Last updated
11/06/2020
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