Individual
JACOB MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1301 TAYLOR ST, COLUMBIA, SC 29201-2942
(803) 429-8313
Mailing address
1505 GLADDEN ST, COLUMBIA, SC 29205-1243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1677
SC
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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