Individual
JIMMY PACHECO-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-6281
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15445
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154451
—
SC
Enumeration date
07/14/2006
Last updated
03/06/2009
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