Individual
DR. JACOB KOZACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1594 FREEDOM BLVD STE 202, FLORENCE, SC 29505-6046
(843) 664-9696
Mailing address
1594 FREEDOM BLVD STE 202, FLORENCE, SC 29505-6046
(843) 664-9696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82166
SC
Other
Enumeration date
03/21/2019
Last updated
06/19/2024
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