Individual
MR. DEAN ROBERT JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 ATRIUM WAY STE 120, COLUMBIA, SC 29223-6382
(803) 788-2276
(803) 788-1022
Mailing address
PO BOX 23098, COLUMBIA, SC 29224-3098
(803) 788-2276
(803) 788-1022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125705
—
SC
Enumeration date
12/15/2005
Last updated
06/08/2022
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