Individual
JACQUELINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4500 STUART ST, COLUMBIA, SC 29207-5700
(413) 539-0094
Mailing address
4500 STUART ST, COLUMBIA, SC 29207-5700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0102205737
VA
Other
Enumeration date
08/02/2009
Last updated
08/16/2022
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