Individual
MITCHELL WELLS JACOCKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 SUNSET CT STE 200, WEST COLUMBIA, SC 29169-2464
(803) 314-9360
(803) 314-9361
Mailing address
145 SUNSET CT STE 200, WEST COLUMBIA, SC 29169-2464
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us