Individual
MRS. JASMINE FOX-BOOKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8063 EDMUND HWY, PELION, SC 29123-9805
(803) 894-3736
(803) 894-5315
Mailing address
PO BOX 280, ORANGEBURG, SC 29116-0280
(843) 560-3985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5014
SC
Other
Enumeration date
09/13/2023
Last updated
10/18/2023
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