Individual
JESSICA JACKSON RUEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 MIDLANDS CT, WEST COLUMBIA, SC 29169-3456
(803) 457-7000
(803) 457-7001
Mailing address
115 MIDLANDS CT, WEST COLUMBIA, SC 29169-3456
(803) 312-4814
(803) 457-7001
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
35134272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83767
U FPRS
SC
Enumeration date
04/20/2013
Last updated
01/30/2025
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