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Individual

DR. CLINTON DRAKE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2427 FISH HATCHERY RD, WEST COLUMBIA, SC 29172-2093
(803) 939-0785
(803) 939-0787
Mailing address
PO BOX 3709, IRMO, SC 29063-4019
(803) 939-0785
(803) 939-0787

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3393
SC

Other

Enumeration date
11/10/2008
Last updated
12/17/2014
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