Organization
JACOBUS ORTHOPEDICS AND INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE VAN BRIDGES DC (COO)
(864) 934-8787
Entity
Organization
Contact information
Practice address
118 CLAIR DR, PIEDMONT, SC 29673-7771
(864) 934-8787
Mailing address
118 CLAIR DR, PIEDMONT, SC 29673-7771
(864) 934-8787
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/29/2018
Last updated
03/28/2019
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