Individual
CAROLYN ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
926 PERRY AVE, DILLON, SC 29536-4734
(843) 774-1227
(843) 774-3601
Mailing address
405 W WASHINGTON ST, DILLON, SC 29536-2855
(843) 774-1227
(843) 841-3601
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
70371
SC
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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