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Organization

JAMES J JAKUBCHAK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES JOSEPH JAKUBCHAK M.D. (M.D.)
(864) 583-5312
Entity
Organization

Contact information

Practice address
1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303
(864) 583-5312
(864) 582-1935
Mailing address
1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303
(864) 583-5312
(864) 582-1935

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085339
SC
01
CB9630
RAILROAD MEDICARE
Enumeration date
11/20/2007
Last updated
08/29/2008
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