Individual
CHARLOTTE H JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3208 SAND OAK DR, MC BEE, SC 29101-9404
(917) 935-7868
Mailing address
2370 FREEDOM BLVD, FLORENCE, SC 29505-6098
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
246465
SC
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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