Individual
BAKARI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2478 SWALLOW DR, CHARLESTON, SC 29414-5422
(843) 571-7554
Mailing address
2478 SWALLOW DR, CHARLESTON, SC 29414-5422
(843) 571-7554
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
SC
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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